Transcorneal Electrical Stimulation - Multicenter Safety Study
Primary Purpose
Retinitis Pigmentosa
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Transcorneal electrostimulation
Sponsored by
About this trial
This is an interventional treatment trial for Retinitis Pigmentosa focused on measuring transcorneal electrostimulation
Eligibility Criteria
Inclusion Criteria:
- patients with retinitis pigmentosa (rod-cone dystrophy) after prescription of electrical stimulation by an ophthalmologist
- adult patients who are capable of giving consent,
- Visual acuity ≥ 0.02
- because the electrode is to be positioned on the eye at home, the patient or his family members should have sufficient fine motor skills (assessment by the study physician)
- the patient must be capable of giving consent and a medical assessment that he/she is able to participate in the whole study according to the protocol
Exclusion Criteria:
- diabetic retinopathy
- neovascularisation of any origin
- after arterial or venous occlusion
- after retinal detachment
- silicone oil tamponade
- dry or exudative age-related macular degeneration
- macular edema
- all forms of glaucoma
- any form of corneal degeneration that reduces visual acuity
- systemic diseases that are difficult to control or manage, that could endanger the normal study schedule
- patients in a permanently poor general condition, which could hinder the regular attendance at control examinations in the clinic
- forms of mental illness related to the bipolar affective and schizoid-affective disorders, and all forms of dementia
- simultaneous participation in another interventional study or history of interventions whose effect may still persist
Sites / Locations
- Glostrup Hospital and Kennedy Center
- University Eye Clinic Bonn
- Augenzentrum München
- University Eye Clinic Regensburg
- Zentrum für seltene Netzhauterkrankungen, AugenZentrum Siegburg
- Centre for Ophthalmology at the eye clinic Tübingen
- Oslo University Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
OkuStim
Arm Description
Electrostimulation Standard Treatment with OkuStim
Outcomes
Primary Outcome Measures
ophthalmic examinations
visual acuity slit lamp microscopy for examination of the anterior and posterior segment intraocular pressure measurement visual field examination Optical coherence tomography (OCT) Digital colour fundus photography
Secondary Outcome Measures
Questionnaires
Questionnaires to collect the patient's perceived benefits of treatment and handling of the device
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01835002
Brief Title
Transcorneal Electrical Stimulation - Multicenter Safety Study
Official Title
Transcorneal Electrical Stimulation for the Treatment of Retinitis Pigmentosa - a Multicenter Safety Study of the Okustim ® System
Study Type
Interventional
2. Study Status
Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
September 2012 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
August 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Okuvision GmbH
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to expand the safety assessment of repeated applications of an electrical current from a DTL-like electrode in patients with RP.
Detailed Description
This is a single-arm open label interventional safety trial with RP patients, who receive weekly TES for 6 months on 1 eye followed by observation for another 6 months without stimulation. The primary outcome measure is safety, indicated by the frequency and severity of adverse events.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Retinitis Pigmentosa
Keywords
transcorneal electrostimulation
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
105 (Actual)
8. Arms, Groups, and Interventions
Arm Title
OkuStim
Arm Type
Experimental
Arm Description
Electrostimulation Standard Treatment with OkuStim
Intervention Type
Device
Intervention Name(s)
Transcorneal electrostimulation
Other Intervention Name(s)
OkuStim, TES, TcES
Intervention Description
Weekly stimulation for 30 minutes with current of TES delivered of 150% of the individual phosphene threshold.
Primary Outcome Measure Information:
Title
ophthalmic examinations
Description
visual acuity slit lamp microscopy for examination of the anterior and posterior segment intraocular pressure measurement visual field examination Optical coherence tomography (OCT) Digital colour fundus photography
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Questionnaires
Description
Questionnaires to collect the patient's perceived benefits of treatment and handling of the device
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
patients with retinitis pigmentosa (rod-cone dystrophy) after prescription of electrical stimulation by an ophthalmologist
adult patients who are capable of giving consent,
Visual acuity ≥ 0.02
because the electrode is to be positioned on the eye at home, the patient or his family members should have sufficient fine motor skills (assessment by the study physician)
the patient must be capable of giving consent and a medical assessment that he/she is able to participate in the whole study according to the protocol
Exclusion Criteria:
diabetic retinopathy
neovascularisation of any origin
after arterial or venous occlusion
after retinal detachment
silicone oil tamponade
dry or exudative age-related macular degeneration
macular edema
all forms of glaucoma
any form of corneal degeneration that reduces visual acuity
systemic diseases that are difficult to control or manage, that could endanger the normal study schedule
patients in a permanently poor general condition, which could hinder the regular attendance at control examinations in the clinic
forms of mental illness related to the bipolar affective and schizoid-affective disorders, and all forms of dementia
simultaneous participation in another interventional study or history of interventions whose effect may still persist
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Florian Gekeler, Prof Dr med
Organizational Affiliation
Eberhard-Karls-Universität Tübingen
Official's Role
Principal Investigator
Facility Information:
Facility Name
Glostrup Hospital and Kennedy Center
City
Glostrup
Country
Denmark
Facility Name
University Eye Clinic Bonn
City
Bonn
ZIP/Postal Code
53127
Country
Germany
Facility Name
Augenzentrum München
City
Munich
Country
Germany
Facility Name
University Eye Clinic Regensburg
City
Regensburg
ZIP/Postal Code
93053
Country
Germany
Facility Name
Zentrum für seltene Netzhauterkrankungen, AugenZentrum Siegburg
City
Siegburg
ZIP/Postal Code
53721
Country
Germany
Facility Name
Centre for Ophthalmology at the eye clinic Tübingen
City
Tübingen
ZIP/Postal Code
72076
Country
Germany
Facility Name
Oslo University Hospital
City
Oslo
Country
Norway
12. IPD Sharing Statement
Citations:
PubMed Identifier
23049087
Citation
Naycheva L, Schatz A, Rock T, Willmann G, Messias A, Bartz-Schmidt KU, Zrenner E, Gekeler F. Phosphene thresholds elicited by transcorneal electrical stimulation in healthy subjects and patients with retinal diseases. Invest Ophthalmol Vis Sci. 2012 Nov 1;53(12):7440-8. doi: 10.1167/iovs.12-9612.
Results Reference
background
PubMed Identifier
22350549
Citation
Gekeler F; Arbeitsgruppe Elektrostimulation des Department fur Augenheilkunde am Universitats-Klinikum Tubingen. [Transcorneal electrostimulation]. Ophthalmologe. 2012 Feb;109(2):129-35. doi: 10.1007/s00347-011-2450-6. German.
Results Reference
background
PubMed Identifier
21467183
Citation
Schatz A, Rock T, Naycheva L, Willmann G, Wilhelm B, Peters T, Bartz-Schmidt KU, Zrenner E, Messias A, Gekeler F. Transcorneal electrical stimulation for patients with retinitis pigmentosa: a prospective, randomized, sham-controlled exploratory study. Invest Ophthalmol Vis Sci. 2011 Jun 23;52(7):4485-96. doi: 10.1167/iovs.10-6932.
Results Reference
background
PubMed Identifier
22807300
Citation
Schatz A, Arango-Gonzalez B, Fischer D, Enderle H, Bolz S, Rock T, Naycheva L, Grimm C, Messias A, Zrenner E, Bartz-Schmidt KU, Willmann G, Gekeler F. Transcorneal electrical stimulation shows neuroprotective effects in retinas of light-exposed rats. Invest Ophthalmol Vis Sci. 2012 Aug 15;53(9):5552-61. doi: 10.1167/iovs.12-10037.
Results Reference
background
PubMed Identifier
23329121
Citation
Rock T, Schatz A, Naycheva L, Gosheva M, Pach J, Wilhelm B, Peters T, Bartz-Schmidt KU, Zrenner E, Willmann G, Gekeler F. [Effects of transcorneal electrical stimulation in patients with Stargardt's disease]. Ophthalmologe. 2013 Jan;110(1):68-73. doi: 10.1007/s00347-012-2749-y. German.
Results Reference
background
PubMed Identifier
31775146
Citation
Jolly JK, Wagner SK, Martus P, MacLaren RE, Wilhelm B, Webster AR, Downes SM, Charbel Issa P, Kellner U, Jagle H, Ruther K, Bertelsen M, Bragadottir R, Prener Holtan J, van den Born LI, Sodi A, Virgili G, Gosheva M, Pach J, Zundorf I, Zrenner E, Gekeler F. Transcorneal Electrical Stimulation for the Treatment of Retinitis Pigmentosa: A Multicenter Safety Study of the OkuStim(R) System (TESOLA-Study). Ophthalmic Res. 2020;63(3):234-243. doi: 10.1159/000505001. Epub 2019 Nov 26.
Results Reference
result
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Transcorneal Electrical Stimulation - Multicenter Safety Study
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