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Pseudo-PDT in Central Serous Chorioretinopathy

Primary Purpose

Chronic Central Serous Chorioretinopathy

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
689 nm Laser Treatment of the Macula
Half Dose Photodynamic Therapy
Sponsored by
Università degli Studi di Brescia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Central Serous Chorioretinopathy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • age ≥18 years;
  • patients with best-corrected visual acuity (BCVA) of 20/200 or better;
  • presence of subretinal fluid (SRF) and/or serous pigment epithelial detachment involving the fovea on optical coherence tomography (OCT);
  • presence of active angiographic leakage in fluorescein angiography caused by CSC and no other diseases, and abnormal dilated choroidal vasculature and other features in indocyanine green angiography (ICGA) consistent with the diagnosis of CSC.

Exclusion Criteria:

  • any previous treatment for CSC;
  • evidence of choroidal neovascularization or other maculopathy on fundus examination.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Half Dose Photodynamic Therapy

    689 nm Laser Treatment

    Arm Description

    Half Dose Photodynamic Therapy The safety enhanced PDT protocol for CSC was performed using half the normal dose of verteporfin (Visudyne, Novartis Pharma, Switzerland), which is 3 mg/m2 verteporfin

    A 689 nm laser treatment delivering 95 J/cm2 by application of an intensity of 805 mW/cm2 over 118 seconds was performed. No verteporfin or other drugs were administered to the patients.

    Outcomes

    Primary Outcome Measures

    Best-corrected Visual Acuity (LogMAR)
    Measured with ETDRS chart
    Central Retinal Thickness (micron)
    Measured with OCT
    Subfoveal Choroidal Thickness (micron)
    Measured with OCT

    Secondary Outcome Measures

    Ellipsoid Zone Recovery (integrity of IS/OS line)
    As visible with OCT scans

    Full Information

    First Posted
    June 6, 2016
    Last Updated
    June 9, 2016
    Sponsor
    Università degli Studi di Brescia
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02799992
    Brief Title
    Pseudo-PDT in Central Serous Chorioretinopathy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    June 2016 (undefined)
    Primary Completion Date
    September 2016 (Anticipated)
    Study Completion Date
    September 2016 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Università degli Studi di Brescia

    4. Oversight

    5. Study Description

    Brief Summary
    Acute central serous chorioretinopathy (CSC) is a common disorder in middle-aged patients, characterized by serous retinal detachment in the macular region. We evaluated half-dose verteporfin photodynamic therapy (hd-PDT) versus 689 nm laser treatment in chronic CSC. Twenty-two eyes of 22 patients with symptomatic chronic CSC were randomized in a 1:1 ratio to receive hd-PDT (group 1) or 689-LT delivering 95 J/cm2 by application of an intensity of 805 mW/cm2 over 118 seconds. Best-corrected visual acuity (BCVA) and spectral-domain optical coherence tomography findings were compared between groups.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Central Serous Chorioretinopathy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    22 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Half Dose Photodynamic Therapy
    Arm Type
    Active Comparator
    Arm Description
    Half Dose Photodynamic Therapy The safety enhanced PDT protocol for CSC was performed using half the normal dose of verteporfin (Visudyne, Novartis Pharma, Switzerland), which is 3 mg/m2 verteporfin
    Arm Title
    689 nm Laser Treatment
    Arm Type
    Experimental
    Arm Description
    A 689 nm laser treatment delivering 95 J/cm2 by application of an intensity of 805 mW/cm2 over 118 seconds was performed. No verteporfin or other drugs were administered to the patients.
    Intervention Type
    Procedure
    Intervention Name(s)
    689 nm Laser Treatment of the Macula
    Intervention Type
    Procedure
    Intervention Name(s)
    Half Dose Photodynamic Therapy
    Primary Outcome Measure Information:
    Title
    Best-corrected Visual Acuity (LogMAR)
    Description
    Measured with ETDRS chart
    Time Frame
    6 months
    Title
    Central Retinal Thickness (micron)
    Description
    Measured with OCT
    Time Frame
    6 months
    Title
    Subfoveal Choroidal Thickness (micron)
    Description
    Measured with OCT
    Time Frame
    6 months
    Secondary Outcome Measure Information:
    Title
    Ellipsoid Zone Recovery (integrity of IS/OS line)
    Description
    As visible with OCT scans
    Time Frame
    6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: age ≥18 years; patients with best-corrected visual acuity (BCVA) of 20/200 or better; presence of subretinal fluid (SRF) and/or serous pigment epithelial detachment involving the fovea on optical coherence tomography (OCT); presence of active angiographic leakage in fluorescein angiography caused by CSC and no other diseases, and abnormal dilated choroidal vasculature and other features in indocyanine green angiography (ICGA) consistent with the diagnosis of CSC. Exclusion Criteria: any previous treatment for CSC; evidence of choroidal neovascularization or other maculopathy on fundus examination.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Andrea Russo, MD, PhD
    Phone
    +390303995308
    Email
    dott.andrea.russo@gmail.com

    12. IPD Sharing Statement

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    Pseudo-PDT in Central Serous Chorioretinopathy

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