ClinicalTrials.gg
CompletedNCT00967850Updated Oct 31, 2024

Efficacy and Safety of Intravitreal Bevacizumab in the Treatment of Choroidal Neovascular Membranes Associated to High Myopia

A Phase 3 interventional study of Intravitreal Injection and Photodynamic Therapy (Visudyne) in Myopia and Choroidal Neovascularization, sponsored by Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA. Completed at 7 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-31.

Sponsored by Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the efficacy and safety of intravitreal injections of bevacizumab in High Myopia´s choroidal neovascularization versus the standard treatment of Photodynamic therapy.

Read the detailed description

Bad response in choroidal neovascularization in High myopia to Photodynamic therapy, which is the current approved treatment for that pathology, and the high incidence of this pathology in these patients, together with the great functional impact in their vision has fostered the search for new therapeutic strategies.

Intravitreal bevacizumab has already been tested in small series of patients with choroidal neovascularization associated to high myopia, whether as first treatment option or after the failure of photodynamic therapy with good results. In the published series an improvement of visual acuity is described after 1-2 injections, with a reduction in the macular edema and a good safety profile.

The lack of published trials that describe the efficacy of frequency of treatment in this pathology is the main reason for this trial.

02

Conditions studied

  • Myopia
  • Choroidal Neovascularization

Keywords

  • High Myopia
  • Bevacizumab
  • Photodynamic therapy
03

In context

Myopia

1,159 studies on the registry are indexed under Myopia; 225 are open to participants now.

This study's enrollment of 56 is below the median of 78 across 923 interventional studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA is the lead sponsor of 17 studies on the registry; 3 are open to participants now.

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

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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

  • Patient at least 18 years old
  • High Myopia with one of the following:

    • 6 or more sphere diopters in the study eye
    • Axial length of the eye greater than 26 millimeters
  • Active subfoveal/juxtafoveal choroidal neovascularization confirmed by Fluorescein angiography and Ocular coherence tomography.
  • Visual acuity loss of less than 6 months of evolution related to the neovascular lesion, as stated by investigator´s opinion.
  • Patients previously treated with Photodynamic therapy are allowed to participate as long as the last treatment has been performed more than 3 months upon entering the study.
  • Signed .
  • Signed data protection consent.
  • Women of must provide a negative pregnancy test at inclusion and must commit to the use of a treatment during the whole study.

Exclusion criteria

Exclusion Criteria:

  • Previous vitrectomy surgery in the study eye.
  • Tractional maculopathy and/or epiretinal membrane evaluated by Ocular coherence tomography.
  • Opacities that may not allow correct fundus assessment.
  • Lack of integrity of the posterior lens capsule in pseudoaphakic patients.
  • Patients that may not want/be able to complete the study, based in the investigator opinion.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    Intravitreal Bevacizumab

    Intravitreal injections of bevacizumab

    Drug: Intravitreal Injection

  • Active comparator
    Visudyne

    Photodynamic Therapy with Visudyne

    Drug: Photodynamic Therapy (Visudyne)

Interventions

  • Intravitreal injection of 1,25 mg in 0,05 ml

    Also known as: Avastin

  • DrugPhotodynamic Therapy (Visudyne)

    Photodynamic therapy on day 1 as described in standard clinical guidelines.

06

What researchers measure

Primary outcomes

  1. Improvement in Visual Acuity assessed by ETDRS

    Time frame: Every month during first year - Every three months during the second year

Secondary outcomes

  1. Central macular thickness with Ocular Coherence Tomography

    Time frame: Every month during first year - Every three months during the second year

  2. Complications that may arise from intravitreal injection

    Time frame: Every treatment visit - Once per month during the first 3 months. Reteatments depending on Visual acuitiy evolution and retinal thickness

07

Study locations

7 sites
  • INGO
    Santiago de Compostela, La Coruña 15706, Spain
  • Hospital General Reina Sofía
    Espinardo, Murcia 30100, Spain
  • Clínica Universitaria de Navarra
    Pamplona, Navarra 31080, Spain
  • Instituto Oftalmológico de Alicante
    Alicante, 03015, Spain
  • Hospital de la Vall d´Hebron
    Barcelona, 08022, Spain
  • Hospital Clínico San Carlos
    Madrid, 28010, Spain
  • IOBA - Instituto Universitario de Oftalmobiología Aplicada
    Valladolid, 47011, Spain
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00967850
Lead sponsor
Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA
Collaborators
Fondo de Investigacion Sanitaria
Responsible party
Sponsor
First posted
Aug 28, 2009
Start date
Apr 2008
Primary completion
Jun 2011
Completion
Jun 2011
Last update
Oct 31, 2024

Study contacts

José Carlos Pastor Jimeno, MD, PhD
principal investigator · IOBA - Instituto Universitario de Oftalmobiología Aplicada

Oversight

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

Not currently enrolling

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

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