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Triamcinolone Acetonide in Patients With Serous Pigment Epithelial Detachment (COAST_UA_AMD)

Primary Purpose

Age-Related Macular Degeneration

Status
Completed
Phase
Not Applicable
Locations
Ukraine
Study Type
Interventional
Intervention
Subtenon injection of 40 mg triamcinolone acetonide
Intravitreal injection of 4 mg triamcinolone acetonide
Visometry
Fluorescent angiography
Refractometry
Slit lamp examination
Ophthalmoscopy
OKT
IOP
Sponsored by
The Filatov Institute of Eye Diseases and Tissue Therapy
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Age-Related Macular Degeneration focused on measuring Age-related macular degeneration, serous pigment epithelium detachment, triamcinolone acetonide

Eligibility Criteria

50 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Able to read (or, if unable to read due to visual impairment, be read to verbatim by the person administering the informed consent form or a family member) and understand the informed consent form and willing to sign the informed consent form.
  • Signed informed consent form.
  • Men and women ≥ 50 years of age.
  • Willing, committed, and able to return for all clinic visits and complete all study-related procedures.
  • Naive serous pigment epithelial detachment associated with AMD as defined on FA and OCT.
  • Transparent optical media and possibility to mydriasis.
  • Best corrected visual acuity at least 20/100 Equivalent of Snellen (ETDRS).
  • Absence of signs of CNV, angiomatous retina proliferation, polypoid choriovasculopathy defined on FA and OCT.

Exclusion Criteria:

  • Ocular media of insufficient quality to obtain fundus and OCT images in the study eye.
  • Previous intravitreal injections of anti-VEGF drugs in the study eye.
  • Any injections of corticosteroids (intravitreal, subtenon, subconjunctival or parabulbar) or implantation of medical device in the study eye.
  • Ocular inflammation or external ocular inflammation in the study eye.
  • Concurrent disease in the study eye that would compromise BCVA or require medical or surgical intervention during the study period.
  • Any ocular disorder in the study eye that, in the opinion of the investigator, may confound interpretation of the study results.
  • Significant scarring or atrophy in the fovea that indicates substantial irreversible vision loss in the study eye.
  • Evidence at examination of infectious blepharitis, keratitis, scleritis, or conjunctivitis in either eye or current treatment for serious systemic infection.
  • Vitreomacular traction or traction retinal detachment, epiretinal membrane in study eye.
  • Any iris neovascularization and/or vitreous hemorrhage in either eye.
  • Uncontrolled glaucoma, or previous filtration surgery in either eye.
  • Maсular hole.
  • Any prior treatment with photodynamic therapy in the study eye.
  • Cataract surgery within 3 months prior to Day 1 in the study eye.
  • Yttrium-aluminum-garnet laser capsulotomy within 2 months prior to Day 1 in the study eye.
  • Any other intraocular surgery within 3 months prior to Day 1 in the study eye.
  • History of vitreoretinal surgery and/or scleral buckle surgery in the study eye.
  • Previous assignment to treatment during this study.
  • Uncontrolled hypertension.
  • History of cerebrovascular disease or myocardial infarction within 6 months prior to Baseline/Day 1.
  • History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug, may affect interpretation of the results of the study, or renders the subject at high risk from treatment complications.
  • Women of childbearing potential without contraception, women who intend to breastfeed during the study. All subjects (both men and women) of childbearing potential who are unwilling to use adequate birth control measures during the course of the study.
  • Renal failure requiring dialysis or renal transplant.
  • Participation in an investigational study within 30 days prior to Screening/Visit 1 that involved treatment with any drug (excluding vitamins and minerals) or device.
  • Known serious allergy to the fluorescein sodium for injection in angiography or Verteporfin.
  • Inability to obtain fundus photographs or fluorescein angiograms of sufficient quality.

Sites / Locations

  • Odessa National Medical University
  • CPUkraine
  • Mykolaiv Region Ophthalmogical Hospital
  • The Filatov Institute of Eye Diseases and Tissue Therapy

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Triamcinolone Acetonide 40 mg

Triamcinolone Acetonide 4 mg

Arm Description

Arm 1

Arm 2

Outcomes

Primary Outcome Measures

Mean Change in Best Corrected Visual Acuity (BCVA) as Measured by ETDRS Chart
Defined study baseline range of ETDRS equivalent of 20/200 to 20/20) in the study eye; a higher score represents better functioning.

Secondary Outcome Measures

Number of Flattened Pigment Epithelial Detachment
Number of flattened pigment epithelial detachment
Mean Change in Central Retinal Thickness (CRT) as Assessed by Optical Coherence
A negative number indicates improvement (reduced thickness).
Average Number of Injections
The number of injections administered
Intraocular pressure
The difference between intraocular pressure at baseline and at Month 12

Full Information

First Posted
February 28, 2020
Last Updated
August 21, 2022
Sponsor
The Filatov Institute of Eye Diseases and Tissue Therapy
Collaborators
Odessa National Medical University, Mykolaiv Region Ophthalmogical Hospital, Central Polyclinic of Internal Affairs of Ukraine
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1. Study Identification

Unique Protocol Identification Number
NCT04292756
Brief Title
Triamcinolone Acetonide in Patients With Serous Pigment Epithelial Detachment
Acronym
COAST_UA_AMD
Official Title
Safety and Effectiveness of Triamcinolone Acetonide in Patients With Serous Pigment Detachment Associated With Age-Related Macular Degeneration
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
March 27, 2018 (Actual)
Primary Completion Date
July 1, 2020 (Actual)
Study Completion Date
December 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The Filatov Institute of Eye Diseases and Tissue Therapy
Collaborators
Odessa National Medical University, Mykolaiv Region Ophthalmogical Hospital, Central Polyclinic of Internal Affairs of Ukraine

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the effectiveness and safety of triamcinolone acetonide in patients with serous pigment detachment associated with age-related macular degeneration
Detailed Description
The purpose of this study is to determine the effectiveness and safety of triamcinolone acetonide in patients with serous pigment epithelial detachment associated with age-related macular degeneration. This study is planned as a follow-up. Patients with with serous pigment epithelial detachment associated with age-related macular degeneration included in it will receive triamcinolone acetonide in accordance with the approved indications for use indicated in the instructions for the use of drugs in Ukraine. The treatment proposed in this study is based on the world experience and scientific developments of the Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine ". Therefore, it is expected that the benefit / risk ratio in relation to the participation in this study should not be different from that described in the scientific literature and the benefits outweigh the risk. It is known that the absence of treatment in these diseases leads to an irreparable loss of central vision.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Age-Related Macular Degeneration
Keywords
Age-related macular degeneration, serous pigment epithelium detachment, triamcinolone acetonide

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Triamcinolone Acetonide 40 mg
Arm Type
Active Comparator
Arm Description
Arm 1
Arm Title
Triamcinolone Acetonide 4 mg
Arm Type
Active Comparator
Arm Description
Arm 2
Intervention Type
Procedure
Intervention Name(s)
Subtenon injection of 40 mg triamcinolone acetonide
Intervention Description
Subtenon injection of 40 mg triamcinolone acetonide: 1 initial injection of 40 mg triamcinolone acetonide, further injections will be base at month 3 examination.
Intervention Type
Procedure
Intervention Name(s)
Intravitreal injection of 4 mg triamcinolone acetonide
Intervention Description
Intravitreal injection of 4 mg triamcinolone acetonide: 1 initial injection of 4 mg triamcinolone acetonide, further injections will be base at month 3 examination.
Intervention Type
Diagnostic Test
Intervention Name(s)
Visometry
Intervention Description
Ophthalmic examination
Intervention Type
Diagnostic Test
Intervention Name(s)
Fluorescent angiography
Intervention Description
Ophthalmic examination
Intervention Type
Diagnostic Test
Intervention Name(s)
Refractometry
Intervention Description
Ophthalmic examination
Intervention Type
Diagnostic Test
Intervention Name(s)
Slit lamp examination
Intervention Description
Ophthalmic examination
Intervention Type
Diagnostic Test
Intervention Name(s)
Ophthalmoscopy
Intervention Description
Ophthalmic examination
Intervention Type
Diagnostic Test
Intervention Name(s)
OKT
Intervention Description
Ophthalmic examination
Intervention Type
Diagnostic Test
Intervention Name(s)
IOP
Intervention Description
Ophthalmic examination
Primary Outcome Measure Information:
Title
Mean Change in Best Corrected Visual Acuity (BCVA) as Measured by ETDRS Chart
Description
Defined study baseline range of ETDRS equivalent of 20/200 to 20/20) in the study eye; a higher score represents better functioning.
Time Frame
Baseline-Month 12
Secondary Outcome Measure Information:
Title
Number of Flattened Pigment Epithelial Detachment
Description
Number of flattened pigment epithelial detachment
Time Frame
Baseline-Month 12
Title
Mean Change in Central Retinal Thickness (CRT) as Assessed by Optical Coherence
Description
A negative number indicates improvement (reduced thickness).
Time Frame
Baseline-Month 12
Title
Average Number of Injections
Description
The number of injections administered
Time Frame
Baseline-Month 12
Title
Intraocular pressure
Description
The difference between intraocular pressure at baseline and at Month 12
Time Frame
Baseline-Month 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Able to read (or, if unable to read due to visual impairment, be read to verbatim by the person administering the informed consent form or a family member) and understand the informed consent form and willing to sign the informed consent form. Signed informed consent form. Men and women ≥ 50 years of age. Willing, committed, and able to return for all clinic visits and complete all study-related procedures. Naive serous pigment epithelial detachment associated with AMD as defined on FA and OCT. Transparent optical media and possibility to mydriasis. Best corrected visual acuity at least 20/100 Equivalent of Snellen (ETDRS). Absence of signs of CNV, angiomatous retina proliferation, polypoid choriovasculopathy defined on FA and OCT. Exclusion Criteria: Ocular media of insufficient quality to obtain fundus and OCT images in the study eye. Previous intravitreal injections of anti-VEGF drugs in the study eye. Any injections of corticosteroids (intravitreal, subtenon, subconjunctival or parabulbar) or implantation of medical device in the study eye. Ocular inflammation or external ocular inflammation in the study eye. Concurrent disease in the study eye that would compromise BCVA or require medical or surgical intervention during the study period. Any ocular disorder in the study eye that, in the opinion of the investigator, may confound interpretation of the study results. Significant scarring or atrophy in the fovea that indicates substantial irreversible vision loss in the study eye. Evidence at examination of infectious blepharitis, keratitis, scleritis, or conjunctivitis in either eye or current treatment for serious systemic infection. Vitreomacular traction or traction retinal detachment, epiretinal membrane in study eye. Any iris neovascularization and/or vitreous hemorrhage in either eye. Uncontrolled glaucoma, or previous filtration surgery in either eye. Maсular hole. Any prior treatment with photodynamic therapy in the study eye. Cataract surgery within 3 months prior to Day 1 in the study eye. Yttrium-aluminum-garnet laser capsulotomy within 2 months prior to Day 1 in the study eye. Any other intraocular surgery within 3 months prior to Day 1 in the study eye. History of vitreoretinal surgery and/or scleral buckle surgery in the study eye. Previous assignment to treatment during this study. Uncontrolled hypertension. History of cerebrovascular disease or myocardial infarction within 6 months prior to Baseline/Day 1. History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug, may affect interpretation of the results of the study, or renders the subject at high risk from treatment complications. Women of childbearing potential without contraception, women who intend to breastfeed during the study. All subjects (both men and women) of childbearing potential who are unwilling to use adequate birth control measures during the course of the study. Renal failure requiring dialysis or renal transplant. Participation in an investigational study within 30 days prior to Screening/Visit 1 that involved treatment with any drug (excluding vitamins and minerals) or device. Known serious allergy to the fluorescein sodium for injection in angiography or Verteporfin. Inability to obtain fundus photographs or fluorescein angiograms of sufficient quality.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrii MD Korol, PhD
Organizational Affiliation
The Filatov Institute of Eye Diseases and Tissue Therapy
Official's Role
Principal Investigator
Facility Information:
Facility Name
Odessa National Medical University
City
Odessa
State/Province
Please Select
ZIP/Postal Code
65061
Country
Ukraine
Facility Name
CPUkraine
City
Kyiv
Country
Ukraine
Facility Name
Mykolaiv Region Ophthalmogical Hospital
City
Mykolaiv
ZIP/Postal Code
54000
Country
Ukraine
Facility Name
The Filatov Institute of Eye Diseases and Tissue Therapy
City
Odessa
ZIP/Postal Code
65061
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
24600628
Citation
V Pasyechnikova N, A Naumenko V, R Korol A, S Zadorozhnyy O, B Kustrin T, O Nasinnyk I. Serous pigment epithelium detachment associated with age-related macular degeneration: a possible treatment approach. Med Hypothesis Discov Innov Ophthalmol. 2012 Winter;1(4):72-5.
Results Reference
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Triamcinolone Acetonide in Patients With Serous Pigment Epithelial Detachment

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