Reduction in the Occurrence of Center-Involved Diabetic Macular Edema
Primary Purpose
Diabetic Retinopathy
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
ruboxistaurin
placebo
Sponsored by
About this trial
This is an interventional treatment trial for Diabetic Retinopathy
Eligibility Criteria
Inclusion Criteria: Type 1 or Type 2 diabetes 18 years or older Non-clinically significant diabetic macular edema Mild to moderate diabetic retinopathy in the study eye, vitreous hemorrhage in the study eye Relatively good vision (20/30 or better) Exclusion Criteria: Surgery or laser treatment in the study eye Glaucoma in the study eye Glycosylated hemoglobin (HbA1c) greater than 11%, or systolic blood pressure greater than 170 millimeters of mercury (mmHg) Liver disease, dialysis or renal transplant
Sites / Locations
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Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Ruboxistaurin
Placebo
Arm Description
32 milligrams (mg) once daily (QD) oral for up to 36 months
QD oral for up to 36 months
Outcomes
Primary Outcome Measures
Mean Duration of Definite Center of Macula-involved Diabetic Macular Edema (DME)
Duration of center of macula involvement when primary study outcome (DME involvement in center of macula determined by central grading of stereoscopic fundus photographs) was identified at a visit, participant was considered to have had definite center involvement for a specified length of time between the adjacent visits. Total duration of center involvement was calculated. Mean duration was total duration of center involvement divided by total number of participants. Participant durations were summarized, total number of months of center involvement in both treatment groups were displayed.
Occurrence of Sustained Moderate Visual Loss (SMVL) in a Diabetic Retinopathy (DR) Study Eye
The occurrence of SMVL was defined as ≥15 letter decrease from baseline in best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity (VA) in any DR study eye relative to baseline that is sustained for the last 6 months of participation. ETDRS VA: participant starts at the top of the chart containing 5 letters per row and reads down the chart until reaching a row where a minimum of 3 letters on a line cannot be read. Participant is scored by how many letters could be correctly identified. A higher number of letters correctly identified represents better visual acuity.
Secondary Outcome Measures
Change From Baseline in Visual Acuity by Early Treatment Diabetic Retinopathy Study (ETDRS) Visual Acuity (VA) Chart at 36 Months
ETDRS VA: participant starts at the top of the chart containing 5 letters per row and reads down the chart until reaching a row where a minimum of 3 letters on a line cannot be read. Participant is scored by how many letters could be correctly identified. A higher number of letters correctly identified represents better visual acuity. Results are reported based on the number of diabetic retinopathy (DR) eyes.
First Occurrence of Focal/Grid Photocoagulation
The first occurrence of focal/grid photocoagulation regardless of diabetic macular edema (DME) distance from the center of the macula.
Change From Baseline in Contrast Sensitivity by Pelli-Robson
Pelli-Robson chart read from left to right + from top to bottom. Each line has 2 groups, each of 3 letters. Letters in each group have same contrast. Contrast in each successive group is less than the preceding group. Participant reads letters starting with highest contrast, continues until 2 or 3 letters in 1 group are incorrectly named. Scored on key showing all letters at full contrast, gives the log contrast sensitivity corresponding to each group. Score is determined by previous group (last group in which 2 or 3 letters were correctly named). Results reported based on number of DR eyes.
Progression of Nonproliferative Diabetic Retinopathy (DR) by Seven-field Stereo Fundus Photography
Participants were classified as having experienced progression or no progression of DR by 36-month visit. Progression of DR=3 steps on ETDRS retinopathy severity person scale for participants with both eyes less than proliferative diabetic retinopathy (PDR) at baseline OR 2 steps on ETDRS retinopathy severity eye scale for participants with 1 eye less than PDR at baseline OR application of panretinal laser therapy. Participants were assigned at baseline to ETDRS retinopathy severity scale for persons or individual eyes; determination of no progression/progression was dependent on the scale.
Change From Baseline in Estimated Glomerular Filtration Rate
The Modification of Diet in Renal Disease (MDRD) study formula used for the estimated glomerular filtration rate (eGFR) determination is: eGFR = 170 X (Serum creatinine concentration [mg/deciliter (dL)])-0.999 X (Age [years]) -0.176 X (0.762 if participant is female) X (1.180 if participant is black) X (Serum urea nitrogen concentration [mg/dL])-0.170 X (Serum albumin concentration [grams (g)/dL])+0.318.
Change From Baseline at Endpoint in Albumin/Creatinine Ratio
Change From Baseline at Endpoint in Visual Function by the National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) at 36 Months
25 vision-targeted questions representing 11 vision-related constructs and a 1-item general health rating question. Measures the influence of visual disability and visual symptoms on generic health domains such as emotional well-being and social functioning and task-oriented domains related to daily visual functioning. Each item is converted to a 0 to 100 scale such that a higher score represents better functioning.
Number of Participants With Adverse Events
Summaries of serious adverse events (SAEs) and all other non-serious adverse events (AEs) are located in the Reported Adverse Event Module.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00090519
Brief Title
Reduction in the Occurrence of Center-Involved Diabetic Macular Edema
Official Title
Reduction in the Occurrence of Center-Involved Diabetic Macular Edema
Study Type
Interventional
2. Study Status
Record Verification Date
August 2016
Overall Recruitment Status
Completed
Study Start Date
February 2004 (undefined)
Primary Completion Date
April 2010 (Actual)
Study Completion Date
April 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chromaderm, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine if ruboxistaurin can help slow the worsening of an eye disease called macular edema in patients with diabetes.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Retinopathy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
731 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Ruboxistaurin
Arm Type
Experimental
Arm Description
32 milligrams (mg) once daily (QD) oral for up to 36 months
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
QD oral for up to 36 months
Intervention Type
Drug
Intervention Name(s)
ruboxistaurin
Other Intervention Name(s)
LY333531, Arxxant
Intervention Description
32 mg once daily (QD) oral for up to 36 months
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
QD oral for up to 36 months
Primary Outcome Measure Information:
Title
Mean Duration of Definite Center of Macula-involved Diabetic Macular Edema (DME)
Description
Duration of center of macula involvement when primary study outcome (DME involvement in center of macula determined by central grading of stereoscopic fundus photographs) was identified at a visit, participant was considered to have had definite center involvement for a specified length of time between the adjacent visits. Total duration of center involvement was calculated. Mean duration was total duration of center involvement divided by total number of participants. Participant durations were summarized, total number of months of center involvement in both treatment groups were displayed.
Time Frame
6 Months through 36 Months
Title
Occurrence of Sustained Moderate Visual Loss (SMVL) in a Diabetic Retinopathy (DR) Study Eye
Description
The occurrence of SMVL was defined as ≥15 letter decrease from baseline in best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity (VA) in any DR study eye relative to baseline that is sustained for the last 6 months of participation. ETDRS VA: participant starts at the top of the chart containing 5 letters per row and reads down the chart until reaching a row where a minimum of 3 letters on a line cannot be read. Participant is scored by how many letters could be correctly identified. A higher number of letters correctly identified represents better visual acuity.
Time Frame
Baseline, 36 Months
Secondary Outcome Measure Information:
Title
Change From Baseline in Visual Acuity by Early Treatment Diabetic Retinopathy Study (ETDRS) Visual Acuity (VA) Chart at 36 Months
Description
ETDRS VA: participant starts at the top of the chart containing 5 letters per row and reads down the chart until reaching a row where a minimum of 3 letters on a line cannot be read. Participant is scored by how many letters could be correctly identified. A higher number of letters correctly identified represents better visual acuity. Results are reported based on the number of diabetic retinopathy (DR) eyes.
Time Frame
Baseline, 36 Months
Title
First Occurrence of Focal/Grid Photocoagulation
Description
The first occurrence of focal/grid photocoagulation regardless of diabetic macular edema (DME) distance from the center of the macula.
Time Frame
Baseline through 36 Months
Title
Change From Baseline in Contrast Sensitivity by Pelli-Robson
Description
Pelli-Robson chart read from left to right + from top to bottom. Each line has 2 groups, each of 3 letters. Letters in each group have same contrast. Contrast in each successive group is less than the preceding group. Participant reads letters starting with highest contrast, continues until 2 or 3 letters in 1 group are incorrectly named. Scored on key showing all letters at full contrast, gives the log contrast sensitivity corresponding to each group. Score is determined by previous group (last group in which 2 or 3 letters were correctly named). Results reported based on number of DR eyes.
Time Frame
Baseline, 36 Months
Title
Progression of Nonproliferative Diabetic Retinopathy (DR) by Seven-field Stereo Fundus Photography
Description
Participants were classified as having experienced progression or no progression of DR by 36-month visit. Progression of DR=3 steps on ETDRS retinopathy severity person scale for participants with both eyes less than proliferative diabetic retinopathy (PDR) at baseline OR 2 steps on ETDRS retinopathy severity eye scale for participants with 1 eye less than PDR at baseline OR application of panretinal laser therapy. Participants were assigned at baseline to ETDRS retinopathy severity scale for persons or individual eyes; determination of no progression/progression was dependent on the scale.
Time Frame
Baseline through 36 Months
Title
Change From Baseline in Estimated Glomerular Filtration Rate
Description
The Modification of Diet in Renal Disease (MDRD) study formula used for the estimated glomerular filtration rate (eGFR) determination is: eGFR = 170 X (Serum creatinine concentration [mg/deciliter (dL)])-0.999 X (Age [years]) -0.176 X (0.762 if participant is female) X (1.180 if participant is black) X (Serum urea nitrogen concentration [mg/dL])-0.170 X (Serum albumin concentration [grams (g)/dL])+0.318.
Time Frame
Baseline, 36 Months
Title
Change From Baseline at Endpoint in Albumin/Creatinine Ratio
Time Frame
36 Months
Title
Change From Baseline at Endpoint in Visual Function by the National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) at 36 Months
Description
25 vision-targeted questions representing 11 vision-related constructs and a 1-item general health rating question. Measures the influence of visual disability and visual symptoms on generic health domains such as emotional well-being and social functioning and task-oriented domains related to daily visual functioning. Each item is converted to a 0 to 100 scale such that a higher score represents better functioning.
Time Frame
36 Months
Title
Number of Participants With Adverse Events
Description
Summaries of serious adverse events (SAEs) and all other non-serious adverse events (AEs) are located in the Reported Adverse Event Module.
Time Frame
Baseline through 36 Months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Type 1 or Type 2 diabetes
18 years or older
Non-clinically significant diabetic macular edema
Mild to moderate diabetic retinopathy in the study eye, vitreous hemorrhage in the study eye
Relatively good vision (20/30 or better)
Exclusion Criteria:
Surgery or laser treatment in the study eye
Glaucoma in the study eye
Glycosylated hemoglobin (HbA1c) greater than 11%, or systolic blood pressure greater than 170 millimeters of mercury (mmHg)
Liver disease, dialysis or renal transplant
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Karl Beutner
Organizational Affiliation
Chromaderm, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
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City
Artesia
State/Province
California
ZIP/Postal Code
90701
Country
United States
Facility Name
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City
Palm Springs
State/Province
California
ZIP/Postal Code
92262
Country
United States
Facility Name
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City
Poway
State/Province
California
ZIP/Postal Code
92064
Country
United States
Facility Name
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City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
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City
Denver
State/Province
Colorado
ZIP/Postal Code
80262
Country
United States
Facility Name
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City
New London
State/Province
Connecticut
ZIP/Postal Code
06320
Country
United States
Facility Name
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City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32204
Country
United States
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City
Sunrise
State/Province
Florida
ZIP/Postal Code
33351
Country
United States
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City
Augusta
State/Province
Georgia
ZIP/Postal Code
30909
Country
United States
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City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
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City
Wheaton
State/Province
Illinois
ZIP/Postal Code
60187
Country
United States
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City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
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City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
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City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
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City
Peabody
State/Province
Massachusetts
ZIP/Postal Code
01960
Country
United States
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City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49525
Country
United States
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City
Columbia
State/Province
Missouri
ZIP/Postal Code
65212
Country
United States
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City
Independence
State/Province
Missouri
ZIP/Postal Code
64055
Country
United States
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City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
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City
Teaneck
State/Province
New Jersey
ZIP/Postal Code
07666
Country
United States
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City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87102
Country
United States
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City
Rockville Center
State/Province
New York
ZIP/Postal Code
11570
Country
United States
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City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28210
Country
United States
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City
Fargo
State/Province
North Dakota
ZIP/Postal Code
58104
Country
United States
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City
Beachwood
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
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City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45242
Country
United States
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City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
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City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
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City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
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City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
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City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57701
Country
United States
Facility Name
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City
Arlington
State/Province
Texas
ZIP/Postal Code
76012
Country
United States
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City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
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City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
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City
Ogden
State/Province
Utah
ZIP/Postal Code
84403
Country
United States
Facility Name
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City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
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City
Parramatta
State/Province
New South Wales
ZIP/Postal Code
2150
Country
Australia
Facility Name
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City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2000
Country
Australia
Facility Name
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City
Westmead
State/Province
New South Wales
ZIP/Postal Code
2145
Country
Australia
Facility Name
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City
Woodville
State/Province
South Australia
ZIP/Postal Code
5011
Country
Australia
Facility Name
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City
Nedlands
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia
Facility Name
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City
Curitiba
ZIP/Postal Code
80420-170
Country
Brazil
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City
Goiania
ZIP/Postal Code
74210-010
Country
Brazil
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City
Sao Paulo
ZIP/Postal Code
05403-010
Country
Brazil
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City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E1
Country
Canada
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City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 2Y9
Country
Canada
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City
London
State/Province
Ontario
ZIP/Postal Code
N6A 4G5
Country
Canada
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City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 1A2
Country
Canada
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City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4N 3M5
Country
Canada
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City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2L 4M1
Country
Canada
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City
Aarhus
ZIP/Postal Code
8000
Country
Denmark
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City
Glostrup
ZIP/Postal Code
2600
Country
Denmark
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City
Bordeaux
ZIP/Postal Code
33076
Country
France
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City
Nantes
ZIP/Postal Code
44093
Country
France
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City
Paris
ZIP/Postal Code
75010
Country
France
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City
Leipzig
ZIP/Postal Code
04103
Country
Germany
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City
Munster
ZIP/Postal Code
48145
Country
Germany
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City
Sulzbach
ZIP/Postal Code
66280
Country
Germany
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City
Ulm
ZIP/Postal Code
D-89075
Country
Germany
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City
Chennai
ZIP/Postal Code
600006
Country
India
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City
Hyderabaad
ZIP/Postal Code
500034
Country
India
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City
New Delhi
ZIP/Postal Code
110029
Country
India
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City
Milano
ZIP/Postal Code
20132
Country
Italy
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City
Udine
ZIP/Postal Code
33100
Country
Italy
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City
Mexico City
ZIP/Postal Code
04030
Country
Mexico
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City
Amsterdam
ZIP/Postal Code
1081 HV
Country
Netherlands
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City
Rotterdam
ZIP/Postal Code
3011 BH
Country
Netherlands
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City
Bydgoszcz
ZIP/Postal Code
85-822
Country
Poland
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Katowice
ZIP/Postal Code
40-044
Country
Poland
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Lublin
ZIP/Postal Code
20-081
Country
Poland
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Poznan
ZIP/Postal Code
61-696
Country
Poland
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Coimbra
ZIP/Postal Code
3000-548
Country
Portugal
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Moscow
ZIP/Postal Code
117036
Country
Russian Federation
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Saint Petersburg
ZIP/Postal Code
195176
Country
Russian Federation
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Alicante
ZIP/Postal Code
03015
Country
Spain
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Barcelona
ZIP/Postal Code
08022
Country
Spain
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Madrid
ZIP/Postal Code
28002
Country
Spain
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Valladolid
ZIP/Postal Code
47005
Country
Spain
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Tao-Yuan
ZIP/Postal Code
333
Country
Taiwan
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Liverpool
State/Province
Merseyside
ZIP/Postal Code
L7 8XP
Country
United Kingdom
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Aberdeen
State/Province
Scotland
ZIP/Postal Code
AB25 2ZN
Country
United Kingdom
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Birmingham
State/Province
West Midlands
ZIP/Postal Code
B9 5SS
Country
United Kingdom
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Bristol
ZIP/Postal Code
BS1 2LX
Country
United Kingdom
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
London
ZIP/Postal Code
EC1V 2PD
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
23404115
Citation
Sheetz MJ, Aiello LP, Davis MD, Danis R, Bek T, Cunha-Vaz J, Shahri N, Berg PH; MBDL and MBCU Study Groups. The effect of the oral PKC beta inhibitor ruboxistaurin on vision loss in two phase 3 studies. Invest Ophthalmol Vis Sci. 2013 Mar 11;54(3):1750-7. doi: 10.1167/iovs.12-11055.
Results Reference
derived
Learn more about this trial
Reduction in the Occurrence of Center-Involved Diabetic Macular Edema
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