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Status unknownNCT00854529Updated Mar 3, 2009

Subconjunctival Bevacizumab Effect on Bleb Vascularity

A Phase 2 interventional study of Bevacizumab in Bleb Vascularity, Bleb Fibrosis and Trabeculectomy Failure, sponsored by Rabin Medical Center. Status unknown at 1 site in Israel. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2009-03-03.

Sponsored by Rabin Medical Center · Phase 2, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Feb 2009), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Trabeculectomy is an ocular surgery intended to reduce intra-ocular pressure the surgery creates a sub-conjunctival filtering bleb which filters aqueous humor fluid out.

A rather common adverse event of the surgery is increasing vascularity of the conjunctiva overlying the bleb. This leads to adherence of the conjunctiva to the sclera and fibrosis and finally failure of the bleb (and of the surgery) this study intends to demonstrate that post operative subconjunctival bevacizumab injection will reduce incidence of bleb vascularity and ultimately, bleb failure.

Read the detailed description

trabeculectomy is an ocular surgery intended to reduce intra-ocular pressure the surgery creates a sub-conjunctival filtering bleb which filters aqueous humor fluid out.

a rather common adverse event of the surgery is increasing vascularity of the conjunctiva overlying the bleb. this leads to adherence of the conjunctiva to the sclera and fibrosis and finally failure of the bleb (and of the surgery) this study wishes to demonstrate that post operative subconjunctival bevacizumab injection will reduce incidence of bleb vascularity and ultimately, bleb failure.

during the study, one study group will be given subconjunctival bevacizumab 1 week after surgery, another study group will be given subconjunctival bevacizumab 2 week after surgery, and a third group will serve as control and will not receive bevacizumab. if bleb vascularity will be diagnosed all patients will be treated according to current guidelines.

02

Conditions studied

  • Bleb Vascularity
  • Bleb Fibrosis
  • Trabeculectomy Failure

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Keywords

  • bevacizumab
  • subconjunctival injection
  • trabeculectomy
  • bleb
  • mitomycin c
03

In context

Blister

36 studies on the registry are indexed under Blister; 3 are open to participants now.

This study's planned enrollment of 60 is close to the median of 65 across 24 interventional studies indexed under Blister.

Browse Blister studies →

Lead sponsor

Rabin Medical Center is the lead sponsor of 393 studies on the registry; 30 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • post uneventful trabeculectomy with mitomycin c application during surgery
  • adult

Exclusion criteria

Exclusion Criteria:

  • usage of 5-fluorouracil in trabeculectomy
  • post-operative complications
  • ischemic heart disease
  • s/p cerebrovascular accident
  • allergy to bevacizumab
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    1

    20 patients who had an uneventful trabeculectomy with usage of mitomycin C, will receive subconjunctival bevacizumab 1 week after the surgery

    Drug: Bevacizumab

  • Active comparator
    2

    20 patients who had an uneventful trabeculectomy with usage of mitomycin C, will receive subconjunctival bevacizumab 2 weeks after the surgery

    Drug: Bevacizumab

  • No intervention
    3

    20 patients after an uneventful trabeculectomy with usage of mitomycin C, will not receive any bevacizumab injection.

Interventions

  • sub-conjunctival injection of 1.25mg Bevacizumab

    Also known as: Avastin

06

What researchers measure

Primary outcomes

  1. Bleb vascularity grading

    Time frame: 1, 2, 3, 4, 5. 6. montes post operative.

Secondary outcomes

  1. Indiana Bleb Appearance Grading Scale (IBAGS)

    Time frame: 1, 2, 3, 4, 5, 6 months post operative

  2. Intra-ocular pressure

    Time frame: 1, 2, 3, 4, 5, 6 months post operative

  3. Indication for subconjunctival Mitomycin C injection or revision of surgery = yes / no

    Time frame: 1, 2, 3, 4, 5, 6 months post operative

07

Study locations

1 site
  • Rabin Medical Center
    Petah-tikva, 49100, Israel
08

References and documents

Publications

  • Ichhpujani P, Ramasubramanian A, Kaushik S, Pandav SS. Bevacizumab in glaucoma: a review. Can J Ophthalmol. 2007 Dec;42(6):812-5. doi: 10.3129/i07-160. PubMed 18026201 ↗
  • Schwartz AL, Van Veldhuisen PC, Gaasterland DE, Ederer F, Sullivan EK, Cyrlin MN. The Advanced Glaucoma Intervention Study (AGIS): 5. Encapsulated bleb after initial trabeculectomy. Am J Ophthalmol. 1999 Jan;127(1):8-19. doi: 10.1016/s0002-9394(98)00290-6. PubMed 9932993 ↗
  • Grewal DS, Jain R, Kumar H, Grewal SP. Evaluation of subconjunctival bevacizumab as an adjunct to trabeculectomy a pilot study. Ophthalmology. 2008 Dec;115(12):2141-2145.e2. doi: 10.1016/j.ophtha.2008.06.009. Epub 2008 Aug 9. PubMed 18692246 ↗
  • Coote MA, Ruddle JB, Qin Q, Crowston JG. Vascular changes after intra-bleb injection of bevacizumab. J Glaucoma. 2008 Oct-Nov;17(7):517-8. doi: 10.1097/IJG.0b013e31815f5345. PubMed 18854726 ↗
  • Kahook MY, Schuman JS, Noecker RJ. Needle bleb revision of encapsulated filtering bleb with bevacizumab. Ophthalmic Surg Lasers Imaging. 2006 Mar-Apr;37(2):148-50. PubMed 16583638 ↗
  • Treatment of Failing Blebs with Ranibizumab. Study number NCT00570726. http://clinicaltrials.gov
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 3, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00854529
First posted
Mar 3, 2009
Start date
Apr 2009
Primary completion
Apr 2011 (estimated)
Completion
Oct 2011 (estimated)
Last update
Mar 3, 2009

Study contacts

moshe lusky, MD
Contact
moshel@clalit.org.il
972-39376113
omer Y bialer, MD
Contact
omerb2@clalit.org.il
972-39376100
moshe lusky, MD
principal investigator · Rabin Medical Center
omer Y bialer, MD
study chair · rabin medial center
anat robinson, MD
study chair · Rabin Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2009. You cannot join it, but the record below documents what was studied.

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