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WithdrawnNCT01495208Updated Jul 16, 2018

Open Label to Study to Evaluate Effect of Alfilbercept on Patients With (FVPED) Fibrovascular Pigment Epithelial Detachment

A Phase 4 interventional study of Aflibercept in Fibrovascular Pigment Epithelial Detachment, sponsored by Vitreous -Retina- Macula Consultants of New York. Withdrawn at 1 site in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2018-07-16.

Sponsored by Vitreous -Retina- Macula Consultants of New York · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
50 Years and older
Sex
All
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Study summary

This is an open label study to evaluate the efficacy of intravitreal aflibercept injection 2mg in patients with a persistent FVPED despite at least 6 consecutive injections with ranibizumab 0.5 mg.

Read the detailed description

This is an open label study to evaluate the efficacy of intravitreal aflibercept injection 2mg in patients with a persistent FVPED despite at least 6 consecutive injections with ranibizumab 0.5 mg.

Patients being evaluated at VRM New York with neovascular AMD who have persistent sub-foveal FVPED on OCT despite at least 6 consecutive ranibizumab injections will be considered for the study.

We aim to recruit 25 patients in the study. There have been no statistical tests to calculate sample size; sample size of 25 patients is chosen, making sure that it is feasible financially to conduct the study and logistically to complete the study within 24 weeks. This is a pilot study to assess the effects of intravitreal aflibercept injection on chronic, persistent FVPEDs; currently there is no data regarding visual and anatomical outcomes for this group of patients.

Patients will be reviewed at baseline and then at 4 week intervals (28 ± 7 days). They will receive intravitreal intravitreal aflibercept injection 2mg at each visit. The primary end point of the study is 24 weeks from baseline. Patients who complete the study will have received 6 injections of intravitreal aflibercept injection 2mg.

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Conditions studied

  • Fibrovascular Pigment Epithelial Detachment

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03

In context

Retinal Detachment

207 studies on the registry are indexed under Retinal Detachment; 27 are open to participants now.

Browse Retinal Detachment studies →

Lead sponsor

Vitreous -Retina- Macula Consultants of New York is the lead sponsor of 11 studies on the registry; none are open to participants now.

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

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Who can participate

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

Eligibility criteria

  • Ability to provide written informed consent and comply with study assessments for the full duration of the study
  • Age > 50 years
  • Subfoveal FVPED assessed using clinical examination and OCT
  • Best corrected visual acuity in the study eye between 20 and 85 letters on the ETDRS chart (20/30 to 20/800 Snellen equivalent)
  • Prior treatment with at least 6 consecutive injections with ranibizumab 0.5 mg prior to the baseline visit; the last treatment with ranibizumab should not exceed 45 days from the baseline visit.

Exclusion Criteria:

  • Pregnancy (positive pregnancy test) or lactation
  • Participation in another simultaneous medical investigation or trial
  • Prior treatment with ranibizumab therapy in the study eye within 30 days of baseline
  • Prior treatment with PDT in the study eye
  • Prior intravitreal injection of a corticosteroid (triamcinolone, dexamethasone) within 120 days from baseline.
  • Presence of significant subfoveal fibrosis or atrophy determined using SDOCT, fluorescein angiography and clinical examination.
  • Presence of fibrous or fibrocellular material occupying more than 50% of the sub-RPE space; assessed using EDI OCT
  • Presence of a RPE tear, determined by clinical examination, FA, FAF and OCT
  • Intraocular surgery (including cataract surgery) in the study eye within 90 days preceding baseline
  • History of pars plana vitrectomy, submacular surgery or any other surgical intervention for vitreo-retinal diseases in the study eye
  • Presence of or previous history of diabetic macular edema or proliferative diabetic retinopathy.
  • History of uveitis in the study eye
  • Current vitreous hemorrhage in the study eye
  • History of rhegmatogenous retinal detachment, macular hole and lamellar hole and in the study eye
  • Ocular or periocular infection
  • Active severe intraocular inflammation
  • Uncontrolled glaucoma in the study eye (defined as IOP ≥ 30 mmHg despite treatment with anti-glaucoma medication)
  • In patients with glaucoma, advanced field loss; mean deviation on threshold visual field of more than 12 decibels.
  • History of cerebral vascular accident, myocardial infarction, transient ischemic attacks within 3 months of study enrollment.
  • History of allergy to fluorescein, ICG or iodine, not amenable to treatment
  • Known hypersensitivity to aflibercept or to any of the excipients
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    aflibercept

    Drug: Aflibercept

Interventions

  • DrugAflibercept

    intravitreal aflibercept injection 2mg

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What researchers measure

Primary outcomes

  1. Change in retinal anatomy (size of FVPED, sub-retinal fluid and retinal volume) from baseline; measured using Spectralis OCT (Heidelberg Engineering, Germany)

    Using the Heidelberg software, subfoveal subretinal fluid (distance between the IS/OS line and the RPE line on SDOCT)

    Time frame: 24 weeks is the primary end point of the study

  2. Change in retinal anatomy (size of FVPED, sub-retinal fluid and retinal volume) from baseline; measured using Spectralis OCT (Heidelberg Engineering, Germany)

    Measure of retinal volume (distance between the ILM and RPE outer margin on SDOCT)

    Time frame: 24 weeks is the primary end point of the study

  3. Change in retinal anatomy (size of FVPED, sub-retinal fluid and retinal volume) from baseline; measured using Spectralis OCT (Heidelberg Engineering, Germany)

    Measure of PED height (distance between ILM and Bruchs membrane (if visible) or the horizontal line where the RPE should be present if it was not elevated)

    Time frame: 24 weeks is the primary end point of the study

  4. Change in retinal anatomy (size of FVPED, sub-retinal fluid and retinal volume) from baseline; measured using Spectralis OCT (Heidelberg Engineering, Germany)

    Measure of maximal diameter of the PED (measured as the point from where the RPE detachment begins to where it ends) will be measured.

    Time frame: 24 weeks is the primary end point of the study

Secondary outcomes

  1. Mean change in best corrected visual acuity (BCVA) from baseline; measured by ETDRS visual refraction at 4 meters.

    * Proportion of patients losing ≤ 15 ETDRS letters compared to baseline. * Proportion of patients gaining ≥ 5 ETDRS letters compared to baseline.

    Time frame: 24 weeks is the primary end point of the study

  2. Mean change in best corrected visual acuity (BCVA) from baseline; measured by ETDRS

    Measure the Change in sub-RPE tissue characteristics from baseline; determined using EDI-OCT on the Spectralis OCT

    Time frame: 24 weeks is the primary end point of the study

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Study locations

1 site
  • Vitreous Retina Macula Consultants of New York
    New York, New York 10022, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01495208
Lead sponsor
Vitreous -Retina- Macula Consultants of New York
Collaborators
Regeneron Pharmaceuticals
Responsible party
Sponsor
First posted
Dec 19, 2011
Start date
Dec 2011
Primary completion
Oct 2012
Completion
Oct 2012
Last update
Jul 16, 2018

Study contacts

Richard Spaide, MD
principal investigator · Vitreous -Retina- Macula Consultants of New York

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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