Study of Photobiomodulation to Treat Dry Age-Related Macular Degeneration (LIGHTSITE II)
Primary Purpose
Dry Age-related Macular Degeneration
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Valeda PBM treatment
Valeda Sham treatment
Sponsored by
About this trial
This is an interventional treatment trial for Dry Age-related Macular Degeneration focused on measuring Dry AMD, Photobiomodulation, Visual Acuity, Contrast Sensitivity, Optical Coherence Tomography, Drusen
Eligibility Criteria
Inclusion Criteria:
- Male or female at least 50 years of age at Screening visit
- Subjects with ETDRS BCVA letter score of between 50* and 75* (Snellen equivalent of 20/100 to 20/32). *If the subject meets this criterion at the Screening Visit but is outside the letter score by up to two letters at Baseline, the subject may be entered in the study.
- Subjects with a diagnosis of dry AMD as defined by the presence of drusen (regular or reticular pseudodrusen) and/or geographic atrophy (GA) visible on two of the following: color fundus images, OCT and/or Heidelberg FAF
- Able to communicate well with the Investigator and able to understand and comply with the requirements of the study
- Subject is informed of the nature of this study and has provided written informed consent in accordance with institutional, local and national regulatory guidelines
Exclusion Criteria:
Current or history of neovascular maculopathy that includes any of the following:
- Choroidal neovascularization (CNV) defined as pathologic angiogenesis originating from the choroidal vasculature that extends through a defect in Bruch's membrane
- Serous and/or hemorrhagic detachment of the neurosensory retina or retinal pigment epithelial (RPE)
- Retinal hard exudates (a secondary phenomenon resulting from chronic intravascular leakage)
- Subretinal and sub-RPE fibrovascular proliferation
- Disciform scar (subretinal fibrosis)
- Presence of center involving GA within the central ETDRS 1 mm diameter at Screening
- Media opacities, including cataracts, which might interfere with visual acuity or imaging in the study eye(s). Subjects should not be entered if there is likelihood that they will require cataract surgery in the study eye in the next 24 months.
- Posterior capsule opacification, which might interfere with visual acuity or imaging in the study eye(s). Subjects should not be entered if there is likelihood that they will require surgery in the study eye in the next 24 months
- Invasive eye surgery (e.g. cataract, capsulotomy) on a qualifying eye within three 3 months prior to Screening
- Ocular disorder or disease that partially or completely obstructs the pupil (e.g. posterior synechia in uveitis)
- Visually significant disease in any ocular structure apart from dry AMD (e.g. diabetic macular edema, glaucoma (using >2 eye drop medications, uncontrolled IOP and/or central/paracentral visual field loss), glaucoma surgery, active uveitis, active vitreous disease, intraocular tumor, retinal vascular diseases)
- Has a serious medical illness that will prevent the subject from performing study activities (including cardiac, hepatic, renal, respiratory, endocrinologic, neurologic, or hematologic disease) or, in the judgement of the Investigator, is likely to require surgical intervention or hospitalization at any point during the study
- Presence of or history of malignancy within the past 5 years other than non-melanoma skin or squamous cell cancer or cervical carcinoma in-situ
- Is non-ambulatory
- Presence or history of known light sensitivity to yellow light, red light, or near infrared radiation (NIR), or if there is a history of light activated CNS disorders (e.g. epilepsy, migraine)
- Use of any photosensitizing agent (e.g. topicals, injectables) within 30 days of treatment without consulting subject's physician
- History of drug, alcohol or substance abuse within 3 months prior to Screening
- Has received an investigational drug or treatment with an investigational device within 3 months prior to Screening
- If on any anti-oxidant or vitamin Age-Related Eye Disease Study (AREDS) supplement for dry AMD, has not been stabilized for a minimum of 1 month prior to Screening. Subjects are considered to be stable if they are taking the AREDS supplements consistently as prescribed by their treating doctor.
- Has received Low Vision Rehab/Therapy within 30 days prior to Screening or intends to receive during the study
- In the opinion of the Investigator, is unlikely to comply with the study protocol
Sites / Locations
- Institut ophtalmologique de l'Ouest- Clinique jules VERNE
- Universitätsklinikum Freiburg- Klinik für Augenheilkunde
- Klinik fur Ophthalmologie, Universitatsklinikum Schleswig-Holstein
- Universitaetsmedizin Mainz- Augenklinik
- Osprdalr San Raffaele
- Institut Català de Retina
- James Paget University
- Peterborough City Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Sham Comparator
Arm Label
PBM Treatment
Sham Treatment
Arm Description
The Valeda™ Light Delivery System will deliver 590, 660 and 850 nm wavelengths together.
The Valeda™ Light Delivery System will deliver non-effective treatment of the 590 and 660 nm wavelengths together.
Outcomes
Primary Outcome Measures
Best Corrected Visual Acuity
The primary efficacy endpoint will be the change in BCVA from Baseline to Month 9 as assessed using the ETDRS BCVA chart.
Secondary Outcome Measures
Best Corrected Visual Acuity
The first of the secondary analyses will test the difference between the sham-treated and PBM-treated subjects in mean change from baseline (pre-treatment) to Month 9 in BCVA.
Contrast Sensitivity
The second of the secondary analyses will test the difference between the sham-treated and PBM-treated subjects in mean change from baseline (pre-treatment) to Month 9 in contrast sensitivity at 18 cycles/degree (CPD).
Impact on Central Drusen Volume by OCT
The analyses will first examine change from the screening visit in central Drusen volume
Impact on Central Drusen Thickness by OCT
The analyses will then examine change from the screening visit in central Drusen Thickness
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03878420
Brief Title
Study of Photobiomodulation to Treat Dry Age-Related Macular Degeneration (LIGHTSITE II)
Official Title
A Double-Masked, Randomized, Sham-Controlled, Parallel Group, Multi-Center Study to Assess the Safety and Efficacy of Photobiomodulation (PBM) in Subjects With Dry Age-Related Macular Degeneration (AMD) (LIGHTSITE II)
Study Type
Interventional
2. Study Status
Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
February 14, 2019 (Actual)
Primary Completion Date
January 22, 2021 (Actual)
Study Completion Date
January 22, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LumiThera, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This LIGHTSITE II study is a double-masked, sham-controlled, parallel design, prospective multi-site study for the use of PBM as a treatment for visual impairment in subjects with dry AMD.
Detailed Description
This study is a double-masked, sham-controlled, parallel design, prospective multi-site study for the use of PBM as a treatment for visual impairment in subjects with dry AMD. The target enrollment is 96 subjects in up to 10 centers in Europe, randomized at a 1:2 ratio into 2 groups: Sham Treatment (S-1) and PBM Treatment (T-2). Once 96 subjects have been enrolled in the study, if there are less than 144 eyes that qualify for the study, additional subjects will be enrolled until 144 eyes have been included in the study.
S-1 will receive 3 sham treatments per week over 3 to 5 weeks starting at Baseline and starting again at Months 4 and 8. T-2 will receive 3 PBM treatments per week over 3 to 5 weeks starting at Baseline and starting again at Months 4 and 8. Each treatment series will total 9 treatments. Neither the subject nor the study staff will know which treatment the subject has been assigned.
Subjects will receive standard visual outcome measurements including Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA, CSV-1000E contrast sensitivity (CS) and the Radner Reading Test prior to and following each treatment series as well as eye exams, fundus photographs, Heidelberg OCT and FAF imaging and optional Optos Ultra Wide Field (UWF) imaging of the retina at selected time intervals. Subjects will also complete the Visual Function Questionnaire 25 (VFQ-25) at selected time intervals.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Age-related Macular Degeneration
Keywords
Dry AMD, Photobiomodulation, Visual Acuity, Contrast Sensitivity, Optical Coherence Tomography, Drusen
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Valeda Light Delivery System
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
44 (Actual)
8. Arms, Groups, and Interventions
Arm Title
PBM Treatment
Arm Type
Experimental
Arm Description
The Valeda™ Light Delivery System will deliver 590, 660 and 850 nm wavelengths together.
Arm Title
Sham Treatment
Arm Type
Sham Comparator
Arm Description
The Valeda™ Light Delivery System will deliver non-effective treatment of the 590 and 660 nm wavelengths together.
Intervention Type
Device
Intervention Name(s)
Valeda PBM treatment
Intervention Description
The Valeda Light Delivery System delivers 590, 660 and 850 nm wavelengths of light to the study eye. The Valeda Light Delivery System will treat through the open eyelid with the 590 nm and 850 nm wavelengths together. The 660 nm wavelength will be treated through the closed eyelid.
Intervention Type
Device
Intervention Name(s)
Valeda Sham treatment
Intervention Description
The sham mode emits an approximate 100x reduction in the highest dose for the 660 nm wavelengths as compared to the treatment mode, producing a slightly duller light. The 850 nm (NIR) wavelength (which is not visible light) is not provided in the sham treatment.
Primary Outcome Measure Information:
Title
Best Corrected Visual Acuity
Description
The primary efficacy endpoint will be the change in BCVA from Baseline to Month 9 as assessed using the ETDRS BCVA chart.
Time Frame
Month 9
Secondary Outcome Measure Information:
Title
Best Corrected Visual Acuity
Description
The first of the secondary analyses will test the difference between the sham-treated and PBM-treated subjects in mean change from baseline (pre-treatment) to Month 9 in BCVA.
Time Frame
Month 9
Title
Contrast Sensitivity
Description
The second of the secondary analyses will test the difference between the sham-treated and PBM-treated subjects in mean change from baseline (pre-treatment) to Month 9 in contrast sensitivity at 18 cycles/degree (CPD).
Time Frame
Month 9
Title
Impact on Central Drusen Volume by OCT
Description
The analyses will first examine change from the screening visit in central Drusen volume
Time Frame
Month 10
Title
Impact on Central Drusen Thickness by OCT
Description
The analyses will then examine change from the screening visit in central Drusen Thickness
Time Frame
Month 10
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female at least 50 years of age at Screening visit
Subjects with ETDRS BCVA letter score of between 50* and 75* (Snellen equivalent of 20/100 to 20/32). *If the subject meets this criterion at the Screening Visit but is outside the letter score by up to two letters at Baseline, the subject may be entered in the study.
Subjects with a diagnosis of dry AMD as defined by the presence of drusen (regular or reticular pseudodrusen) and/or geographic atrophy (GA) visible on two of the following: color fundus images, OCT and/or Heidelberg FAF
Able to communicate well with the Investigator and able to understand and comply with the requirements of the study
Subject is informed of the nature of this study and has provided written informed consent in accordance with institutional, local and national regulatory guidelines
Exclusion Criteria:
Current or history of neovascular maculopathy that includes any of the following:
Choroidal neovascularization (CNV) defined as pathologic angiogenesis originating from the choroidal vasculature that extends through a defect in Bruch's membrane
Serous and/or hemorrhagic detachment of the neurosensory retina or retinal pigment epithelial (RPE)
Retinal hard exudates (a secondary phenomenon resulting from chronic intravascular leakage)
Subretinal and sub-RPE fibrovascular proliferation
Disciform scar (subretinal fibrosis)
Presence of center involving GA within the central ETDRS 1 mm diameter at Screening
Media opacities, including cataracts, which might interfere with visual acuity or imaging in the study eye(s). Subjects should not be entered if there is likelihood that they will require cataract surgery in the study eye in the next 24 months.
Posterior capsule opacification, which might interfere with visual acuity or imaging in the study eye(s). Subjects should not be entered if there is likelihood that they will require surgery in the study eye in the next 24 months
Invasive eye surgery (e.g. cataract, capsulotomy) on a qualifying eye within three 3 months prior to Screening
Ocular disorder or disease that partially or completely obstructs the pupil (e.g. posterior synechia in uveitis)
Visually significant disease in any ocular structure apart from dry AMD (e.g. diabetic macular edema, glaucoma (using >2 eye drop medications, uncontrolled IOP and/or central/paracentral visual field loss), glaucoma surgery, active uveitis, active vitreous disease, intraocular tumor, retinal vascular diseases)
Has a serious medical illness that will prevent the subject from performing study activities (including cardiac, hepatic, renal, respiratory, endocrinologic, neurologic, or hematologic disease) or, in the judgement of the Investigator, is likely to require surgical intervention or hospitalization at any point during the study
Presence of or history of malignancy within the past 5 years other than non-melanoma skin or squamous cell cancer or cervical carcinoma in-situ
Is non-ambulatory
Presence or history of known light sensitivity to yellow light, red light, or near infrared radiation (NIR), or if there is a history of light activated CNS disorders (e.g. epilepsy, migraine)
Use of any photosensitizing agent (e.g. topicals, injectables) within 30 days of treatment without consulting subject's physician
History of drug, alcohol or substance abuse within 3 months prior to Screening
Has received an investigational drug or treatment with an investigational device within 3 months prior to Screening
If on any anti-oxidant or vitamin Age-Related Eye Disease Study (AREDS) supplement for dry AMD, has not been stabilized for a minimum of 1 month prior to Screening. Subjects are considered to be stable if they are taking the AREDS supplements consistently as prescribed by their treating doctor.
Has received Low Vision Rehab/Therapy within 30 days prior to Screening or intends to receive during the study
In the opinion of the Investigator, is unlikely to comply with the study protocol
Facility Information:
Facility Name
Institut ophtalmologique de l'Ouest- Clinique jules VERNE
City
Nantes
Country
France
Facility Name
Universitätsklinikum Freiburg- Klinik für Augenheilkunde
City
Freiburg
ZIP/Postal Code
79106
Country
Germany
Facility Name
Klinik fur Ophthalmologie, Universitatsklinikum Schleswig-Holstein
City
Kiel
Country
Germany
Facility Name
Universitaetsmedizin Mainz- Augenklinik
City
Mainz
ZIP/Postal Code
55131
Country
Germany
Facility Name
Osprdalr San Raffaele
City
Milano
Country
Italy
Facility Name
Institut Català de Retina
City
Barcelona
Country
Spain
Facility Name
James Paget University
City
Great Yarmouth
ZIP/Postal Code
NR31 6LA
Country
United Kingdom
Facility Name
Peterborough City Hospital
City
Peterborough
ZIP/Postal Code
PE3 9GZ
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Study of Photobiomodulation to Treat Dry Age-Related Macular Degeneration (LIGHTSITE II)
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