Efficacy of Electrical Micro-current Retinal Stimulation for Treatment of Dry Age-related Macular Degeneration
Primary Purpose
Macular Degeneration
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Tesmac
Sham Tesmac device
Sponsored by
About this trial
This is an interventional treatment trial for Macular Degeneration focused on measuring Age-related macular degeneration, electrical stimulation, randomized, double blind
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of Macular Degeneration, i.e., at least three, hard or soft drusen must be present there must be RPE changes (migration, clumping or atrophy) within the central 6mm of the retina.
- As a prerequisite for entry into the study, all patients will have their diagnosis of dry AMD confirmed by an ophthalmologist via a retinal exam and Fluorescein Angiography will also determine whether or not the subject is a candidate for laser surgery. Only subjects who have AMD will be admitted to the study.
- Both sexes are eligible.
- The best-corrected visual acuity can be no better than 20/40 and no worse than 20/100 in the treated eyes.
- Age greater than 50.
- Subjects must be highly motivated, alert, oriented, mentally competent and able to understand and comply with the requirements of the study, abide by the restrictions, return for all required visits, and provide voluntary informed consent.
- Both eyes of the subject must show no evidence of wet AMD. If one eye is wet and the fellow eye is dry, the subject will be excluded.
Exclusion Criteria:
- Subjects with seizure disorders.
- Subjects with additional eye-related diseases that have associated ongoing retinal bleeding.
- Subjects with any implanted electrical device.
- Subjects who have smoked, on average, more than half a pack of cigarettes per day during the last 5 years.
- Subjects with known allergy to contrast dye.
- Subjects who are in poor general health, have unstable diseases, are terminally ill, have a life expectancy of less than 12 months, are non-ambulatory or bedridden, live in a geographical location which would likely prevent regular attendance at study visits or are considered not suitable for participation by the investigator.
- Subjects exposed to an investigational device or drug within the past 30 days or involved concurrently in other treatment clinical trials. Note: Subjects participating in studies investigating the natural progression of AMD may not participate in this trial.
- Subjects unwilling to adhere to visit or examination schedules as described in the study protocol.
- Subjects with a known history of alcoholism, drug abuse, psychosis, clinical evidence of depression, poor motivation, emotional or intellectual problems, or any other conditions which would likely limit validity of consent or appropriate responses to participate in the study or who are deemed unsuitable psychologically or physiologically for study participation by the investigator.
- Any subject experiencing an acute stressor that, in the opinion of the investigator, might affect the course or treatment of AMD.
- Anyone with diagnosis of malignant or poorly controlled glaucoma in the eye(s) that would be treated.
- Anyone with diabetic retinopathy.
- Anyone with a progressive corneal dystrophy in the eye(s) that would be treated.
- Anyone with any noted chorio retinal disease (other than AMD) in the eye(s) that would be treated.
- Anyone with a progressive nuclear cataract in the eye(s) that would be treated. Stable cortical cataract patients may be included. Any patient with an immature cataract, one in which scattered opacities are separated by clear zones, may be included in the study. All patients with mature, hypermature or morgagnian cataracts in the eye(s) that would be treated will be excluded. Patients with a grade 3 or grade 4 cataract in the eye(s) that would be treated will be excluded. Grade 1 and Grade 2 cataract patients may be included in this study.
- Subjects participating in an AMD natural history study.
- Subjects with one eye diagnosed with wet AMD.
- Subjects with any previous retinal bleeding, injury, or retinal surgery.
- Subjects that have previously been diagnosed with amblyopia.
- Subjects currently taking blood-thinning medication.
- Subjects cannot have previously been involved in a TESMAC™ study.
- Subjects that take two or more of the following antioxidants daily at the following doses: 500 milligrams of vitamin C; 400 international units of vitamin E; 15 milligrams of beta-carotene; 80 milligrams of zinc as zinc oxide; and two milligrams of copper as cupric oxide and have done this for more than 2 years. These subjects may be included, but their study results will be analyzed separately.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Active Comparator
Arm Label
Sham
Tesmac
Arm Description
Treatment with inactivate Tesmac device
Treatment with active Tesmac device
Outcomes
Primary Outcome Measures
Change in visual acuity
Change in visual acuity as measured with ETDRS eye chart
Secondary Outcome Measures
Full Information
NCT ID
NCT01600300
First Posted
May 14, 2012
Last Updated
May 15, 2012
Sponsor
Acuity Medical International, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01600300
Brief Title
Efficacy of Electrical Micro-current Retinal Stimulation for Treatment of Dry Age-related Macular Degeneration
Official Title
A Double-Blind, Placebo-Controlled Feasibility Study to Evaluate the Efficacy of TESMAC™ (Transcutaneous Electrical Stimulation of the Macula)
Study Type
Interventional
2. Study Status
Record Verification Date
May 2012
Overall Recruitment Status
Completed
Study Start Date
August 2002 (undefined)
Primary Completion Date
April 2004 (Actual)
Study Completion Date
April 2004 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Acuity Medical International, Inc.
4. Oversight
5. Study Description
Brief Summary
Hypothesis: external electrical stimulation of the retina with low level electrical currents improves visual acuity in subjects with age-related dry macular degeneration.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Macular Degeneration
Keywords
Age-related macular degeneration, electrical stimulation, randomized, double blind
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Sham
Arm Type
Placebo Comparator
Arm Description
Treatment with inactivate Tesmac device
Arm Title
Tesmac
Arm Type
Active Comparator
Arm Description
Treatment with active Tesmac device
Intervention Type
Device
Intervention Name(s)
Tesmac
Other Intervention Name(s)
Theramac
Intervention Description
Subjects were treated twice daily for five consecutive days, followed by two days untreated, and then treated twice daily for five more consecutive days.
Intervention Type
Device
Intervention Name(s)
Sham Tesmac device
Intervention Description
Treatment with inactivated Tesmac device on the same schedule as the group treated with the active Tesmac device.
Primary Outcome Measure Information:
Title
Change in visual acuity
Description
Change in visual acuity as measured with ETDRS eye chart
Time Frame
Day 5, Day 12
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of Macular Degeneration, i.e., at least three, hard or soft drusen must be present there must be RPE changes (migration, clumping or atrophy) within the central 6mm of the retina.
As a prerequisite for entry into the study, all patients will have their diagnosis of dry AMD confirmed by an ophthalmologist via a retinal exam and Fluorescein Angiography will also determine whether or not the subject is a candidate for laser surgery. Only subjects who have AMD will be admitted to the study.
Both sexes are eligible.
The best-corrected visual acuity can be no better than 20/40 and no worse than 20/100 in the treated eyes.
Age greater than 50.
Subjects must be highly motivated, alert, oriented, mentally competent and able to understand and comply with the requirements of the study, abide by the restrictions, return for all required visits, and provide voluntary informed consent.
Both eyes of the subject must show no evidence of wet AMD. If one eye is wet and the fellow eye is dry, the subject will be excluded.
Exclusion Criteria:
Subjects with seizure disorders.
Subjects with additional eye-related diseases that have associated ongoing retinal bleeding.
Subjects with any implanted electrical device.
Subjects who have smoked, on average, more than half a pack of cigarettes per day during the last 5 years.
Subjects with known allergy to contrast dye.
Subjects who are in poor general health, have unstable diseases, are terminally ill, have a life expectancy of less than 12 months, are non-ambulatory or bedridden, live in a geographical location which would likely prevent regular attendance at study visits or are considered not suitable for participation by the investigator.
Subjects exposed to an investigational device or drug within the past 30 days or involved concurrently in other treatment clinical trials. Note: Subjects participating in studies investigating the natural progression of AMD may not participate in this trial.
Subjects unwilling to adhere to visit or examination schedules as described in the study protocol.
Subjects with a known history of alcoholism, drug abuse, psychosis, clinical evidence of depression, poor motivation, emotional or intellectual problems, or any other conditions which would likely limit validity of consent or appropriate responses to participate in the study or who are deemed unsuitable psychologically or physiologically for study participation by the investigator.
Any subject experiencing an acute stressor that, in the opinion of the investigator, might affect the course or treatment of AMD.
Anyone with diagnosis of malignant or poorly controlled glaucoma in the eye(s) that would be treated.
Anyone with diabetic retinopathy.
Anyone with a progressive corneal dystrophy in the eye(s) that would be treated.
Anyone with any noted chorio retinal disease (other than AMD) in the eye(s) that would be treated.
Anyone with a progressive nuclear cataract in the eye(s) that would be treated. Stable cortical cataract patients may be included. Any patient with an immature cataract, one in which scattered opacities are separated by clear zones, may be included in the study. All patients with mature, hypermature or morgagnian cataracts in the eye(s) that would be treated will be excluded. Patients with a grade 3 or grade 4 cataract in the eye(s) that would be treated will be excluded. Grade 1 and Grade 2 cataract patients may be included in this study.
Subjects participating in an AMD natural history study.
Subjects with one eye diagnosed with wet AMD.
Subjects with any previous retinal bleeding, injury, or retinal surgery.
Subjects that have previously been diagnosed with amblyopia.
Subjects currently taking blood-thinning medication.
Subjects cannot have previously been involved in a TESMAC™ study.
Subjects that take two or more of the following antioxidants daily at the following doses: 500 milligrams of vitamin C; 400 international units of vitamin E; 15 milligrams of beta-carotene; 80 milligrams of zinc as zinc oxide; and two milligrams of copper as cupric oxide and have done this for more than 2 years. These subjects may be included, but their study results will be analyzed separately.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard Beauchemin, MD
Organizational Affiliation
WNC Eye Care Associates PA
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
Efficacy of Electrical Micro-current Retinal Stimulation for Treatment of Dry Age-related Macular Degeneration
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