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CompletedNCT00896779Updated Jun 29, 2015Results posted

Lucentis in Advanced Macular Degeneration

A Phase 2 interventional study of ranibizumab in Macular Degeneration, sponsored by Steven R. Sanislo. Completed at 2 sites in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2015-06-29.

Sponsored by Steven R. Sanislo · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

Patients with low vision (visual acuity 20/400 or worse) were excluded from the large Phase III ranibizumab clinical trials. It is not known if treatment with ranibizumab results in improved visual function in such patients.Since ranibizumab has been shown to be the most effective therapy for exudative macular degeneration we propose to treat all patients in this study with monthly ranibizumab intravitreal injections.

Patients will be assigned to one of two groups by the flip of a coin. Group #1 for "heads" and Group #2 for "tails".

Group #1 patients will be treated for 3 monthly injections of 0.5 mg of ranibizumab and then as needed therapy.

Group #2 will be treated with 6 monthly injections of 0.5 mg of ranibizumab and then as needed therapy.

Read the detailed description

The duration of the study is up to 13 months. This includes up to 30 days during which tests will be performed before treatment. Only one eye will be chosen for the study. Patients can receive up to 12 injections of ranibizumab during this study (the first dose[s], plus additional doses [re treatment as often as every 22 days] if the doctor determines that additional doses are required).

In addition to study drug injections. Several eye examinations and procedures will be performed to evaluate response to treatment. These include: visual acuity testing (eye chart), contrast sensitivity testing, reading speed testing, measurement of time to complete typical daily activities, measurement of the thickness of the central retina, measurement of your central visual field.

On the screening visit and two more times during the study fluorescein angiography will be performed.

The screening tests included the following:

  • A review of your medical history
  • A review of any medications you are or have been taking
  • Eye examinations, including visual acuity testing (reading letters on an eye chart)
  • Blood pressure measurement Woman of childbearing potential must also take a urine pregnancy test during the screening period to rule out pregnancy.

Upon completion of the study at Month 12 and if it were to occur; early termination visit, the following procedures will be performed: vision exam,OCT,microperimetry,FA/Photos,VFQ,reading performance, contrast sensitivity and TIADL.

02

Conditions studied

  • Macular Degeneration
03

In context

Macular Degeneration

1,474 studies on the registry are indexed under Macular Degeneration; 206 are open to participants now.

This study's enrollment of 20 is below the median of 51 across 985 interventional studies indexed under Macular Degeneration.

Browse Macular Degeneration studies →

Lead sponsor

This is the only study on the registry with Steven R. Sanislo as lead sponsor.

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

04

Who can participate

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

Inclusion criteria

Subjects will be eligible if the following criteria are met:

  • Ability to provide written informed consent and comply with study assessments for the full duration of the study.
  • Age > 50 years.
  • Low vision AMD patients with a VA of 20/400 or worse.
  • Evidence of active exudation as manifested by subretinal or intraretinal fluid on OCT or fresh appearing subretinal hemorrhage on fundus examination.

Exclusion criteria

Exclusion Criteria:

Subjects who meet any of the following criteria will be excluded from this study:

  • Pregnancy (positive pregnancy test) or lactation.
  • Premenopausal women not using adequate contraception. The following are considered effective means of contraception: surgical sterilization or use of oral contraceptives, barrier contraception with either a condom or diaphragm in conjunction with spermicidal gel, an IUD, or contraceptive hormone implant or patch.
  • Any other condition that the investigator believes would pose a significant hazard to the subject if the investigational therapy were initiated.
  • Participation in another simultaneous medical investigation or trial.
  • Concurrent eye disease in the study eye that could compromise visual acuity (e.g., diabetic retinopathy, advanced glaucoma).
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Other
    ranibizumab Group 1

    Group 1: 3 monthly injections of 0.5mg then prn

    Drug: ranibizumab

  • Other
    ranibizumab Group 2

    Group 2: 6 monthly injections of 0.5 mg then prn

    Drug: ranibizumab

Interventions

  • Drugranibizumab

    Group 1 - 0.5mg intravitreal injection every month for 3 months then as needed for 12 months Group 2 -0.5mg intravitreal injection every month for 6 months then as needed for 12 months

    Also known as: Lucentis

06

What researchers measure

Primary outcomes

  1. Mean Change in Visual Acuity

    Change in vision from baseline measurement at 12 months. Standard ETDRS chart (80 letters) was used to determine visual acuity with test luminance of 45 cd/m \^2 at 8 feet. Number of correctly read letters were reported.

    Time frame: 12 months

07

Results

Posted May 27, 2015
Limitations and caveats
Limitations include small number of subjects analyzed and no control group that were untreated.

Participant flow

Participant flow — Overall Study
MilestoneRanibizumab Group 1Ranibizumab Group 2
Started812
Completed811
Not completed01

Outcome measures

PrimaryMean Change in Visual Acuity

Change in vision from baseline measurement at 12 months. Standard ETDRS chart (80 letters) was used to determine visual acuity with test luminance of 45 cd/m \^2 at 8 feet. Number of correctly read letters were reported.

Time frame:
12 months
Reported as:
Mean · letters
Mean Change in Visual Acuity
lettersRanibizumab Group 1Ranibizumab Group 2
Mean Change in Visual Acuity15.0 ± 14.25.6 ± 8.6
Statistical analysis
  • Ranibizumab Group 1 · t-test, 2 sided · p = 0.02
  • Ranibizumab Group 2 · t-test, 2 sided · p = 0.06

Adverse events

Collected over 12 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ranibizumab Group 1—0/8 (0%)4/8 (50%)
Ranibizumab Group 2—0/12 (0%)4/12 (33.3%)
Most frequent other events
Showing 10 of 19
Most frequent other events
EventRanibizumab Group 1Ranibizumab Group 2
laceration right legSkin and subcutaneous tissue disorders1/80/12
laceration left legSkin and subcutaneous tissue disorders1/80/12
Mild pneumoniaRespiratory, thoracic and mediastinal disorders1/80/12
Seasonal allergiesImmune system disorders1/80/12
Worsening glaucoma - which eye was not specifiedEye disorders1/80/12
visual disturbance - fellow eyeEye disorders1/80/12
development of choroidal neovascularization - fellow eyeEye disorders1/80/12
bruised sturnumMusculoskeletal and connective tissue disorders1/80/12
subconjuctival hemorrhage - treatment eyeEye disorders1/80/12
intraretinal hemorrhage - treatment eyeEye disorders1/80/12

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Ranibizumab Group 1Ranibizumab Group 2Total
<=18 years000
Between 18 and 65 years000
>=65 years81220
Age, Continuous
Age, Continuous(years)Ranibizumab Group 1Ranibizumab Group 2Total
Mean81 (68 to 94)84 (71 to 97)83 (68 to 97)
Sex: Female, Male
Sex: Female, Male(Participants)Ranibizumab Group 1Ranibizumab Group 2Total
Female3811
Male549
Region of Enrollment
Region of Enrollment(participants)Ranibizumab Group 1Ranibizumab Group 2Total
United States81220
08

Study locations

2 sites
  • California Pacific Medical Center
    San Francisco, California 94107, United States
  • Stanford University School of Medicine
    Stanford, California 94305, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 29, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00896779
Lead sponsor
Steven R. Sanislo
Collaborators
Genentech, Inc., California Pacific Medical Center, Pacific Eye Associates
Responsible party
Steven R. Sanislo (MD/PI, Stanford University) — Sponsor-investigator
First posted
May 12, 2009
Start date
Oct 2009
Primary completion
Sep 2013
Completion
Sep 2013
Results posted
May 27, 2015
Last update
Jun 29, 2015

Study contacts

Dr. Steven R. Sanislo
principal investigator · Stanford University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2015. You cannot join it, but the record below documents what was studied.

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