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Status unknownNCT02522897PEARLUpdated Aug 13, 2015

Evaluation of the "Treat-and-extend" Scheme in Patients With Retinal Vein Occlusion (RVO) With and Without LASER Treatment of Ischaemic Retinal Areas

A Phase 4 interventional study of Ranibizumab and Laser in Central Retinal Vein Occlusion With Macular Edema, sponsored by PD. Dr. med. Armin Wolf. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-08-13.

Sponsored by PD. Dr. med. Armin Wolf · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2015), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine if additional panretinal photocoagulation of ischemic areas following retinal vein occlusion (RVO) may reduce the rate of recurrence and allow longer treatment intervals in anti-Vascular Endothelial Growth Factor (VEGF) treatment following the "trea-and-extend" scheme.

Read the detailed description

Patients with macular edema following RVO receive an anti-VEGF treatment by injection of Ranibizumab for 12 months in the "treat-and-extend" scheme. Following this scheme, all patients receive a series of three injections at the interval of 4 weeks. Thereafter, the retreatment interval is determined by results of certain examinations.

The next control including a reinjection is scheduled with an extension of one week until the patient presents signs of recurrence. Assuming that by the time of recurrence the interval is too long, the next control (following a retreatment) is then scheduled one week sooner than the last control. Following this treatment schedule, the individualized retreatment interval is thereafter kept steady.

Half the patients receive an additional panretinal photocoagulation on visit 3 and / or 4. Aim of this study is to investigate if this additional panretinal photocoagulation may result in a longer individualized retreatment interval corresponding to a reduced rate of recurrence of macular edema.

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Conditions studied

  • Central Retinal Vein Occlusion With Macular Edema
03

In context

Lead sponsor

This is the only study on the registry with PD. Dr. med. Armin Wolf as lead sponsor.

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

  • retinal vein occlusion with OCT-diagnosed macular edema with a documented duration of 3 months or less
  • age over 18
  • documented maximal visual acuity of 0,5 ETDRS
  • voluntary participation in this study as proven by written informed consent
  • ability to follow study instructions and likely to attend and complete all required visits
  • pre-menopausal female patients with childbearing potential must use an approved contraceptive method (Pearl index \<1)
  • pre-menopausal female patients with childbearing potential: a negative serum pregnancy test must be obtained prior to treatment start
  • ischemic area of more than 5 pupillary distance (PD) in angiography

Exclusion criteria

Exclusion Criteria:

  • subject without legal capacity who is unable to understand the nature, scope, significance and consequences of this clinical trial
  • patients with known allergy to Ranibizumab or ingredients of the injection solution
  • treatment in another clinical trial with therapeutic intervention or use of any other investigational medicinal product (IMP) during the trial or within the 30 days before enrolment
  • known or persistent abuse of medication, drugs or alcohol
  • women who are pregnant or breast-feeding
  • failure of laboratory inclusion criteria
  • diabetic retinopathy
  • previous anti-VEGF (Lucentis ®, Avastin®, Eylea®) or LASER therapy due to RVO
  • previous intravitreal steroid therapy
  • status post excision of the vitreous body
  • status post intraocular surgery within 3 months before enrolment
  • established or suspected ocular or periocular infection
  • evidence of giant cell arteriitis
  • retinal hemorrhages that seem to prevent a Laser-treatment of ischemic areals within the following 12 weeks
  • unregulated hypertension above 200/120 mmHg
  • cerebral vascular occurence or myocardium infarct within 12 months before enrolment
  • relevant systemic diseases that might be associated with elevated VEGF serum concentration
  • active malignancies (status post successful treatment of malignancies is no exclusion criterion)
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Ranibizumab

    Patients receive intravitreal injections of 0,5 mg Ranibizumab (Lucentis®) / injection following the "treat-and-extend" scheme for 12 months.

    Drug: Ranibizumab

  • Experimental
    Ranibizumab + Laser

    Apart from receiving intravitreal injections of 0,5 mg Ranibizumab (Lucentis®) / injection following the "treat-and-extend" scheme for 12 months, patients receive a panretinal photocoagulation on visit 3 and / or 4.

    Drug: Ranibizumab · Device: Laser

Interventions

  • Also known as: Lucentis

  • DeviceLaser

    Also known as: Visulas 532s Laser

06

What researchers measure

Primary outcomes

  1. Differences in the length of the treatment-free interval in patients with or without panretinal photocoagulation

    Length of the longest interval between reinjections that did not result in recurrence

    Time frame: within 12 months after first injection of Ranibizumab

Secondary outcomes

  1. Number of Injections

    Time frame: within 12 months after first injection of Ranibizumab

  2. Retinal thickness in µm measured by spectral domain (SD)-Optical coherence tomography (OCT) at end-of-study visit

    end-of-study visit is performed at individualized retreatment interval (can range from 4-9 weeks) after last injection within 12 months after first injection of Ranibizumab

    Time frame: 4-9 weeks after last injection within

  3. Visus at end-of-study visit

    end-of-study visit is performed at individualized retreatment interval (can range from 4-9 weeks) after last injection within 12 months after first injection of Ranibizumab

    Time frame: 4-9 weeks after last injection within

  4. Percentage of patients with retinal thickness of more than 220 µm in the OCT examination at the end-of-study visit

    end-of-study visit is performed at individualized retreatment interval (can range from 4-9 weeks) after last injection within 12 months after first injection of Ranibizumab

    Time frame: 4-9 weeks after last injection within

07

Study locations

No study locations are listed for this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2015, 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
NCT02522897
Lead sponsor
PD. Dr. med. Armin Wolf
Responsible party
PD. Dr. med. Armin Wolf (PD Dr. med. Armin Wolf, Ludwig-Maximilians - University of Munich) — Sponsor-investigator
First posted
Aug 13, 2015
Start date
Aug 2015
Primary completion
Jan 2018 (estimated)
Completion
Jan 2018 (estimated)
Last update
Aug 13, 2015

Study contacts

Verena Dykstra, Dr.
Contact
verena.dykstra@ukb.uni-bonn.de
+49 228 287 16360
Almut Steinhagen, Dr.
Contact
almut.steinhagen@ukb.uni-bonn.de
+49 228 287 16029
Armin Wolf, PD Dr.
principal investigator · Eye Clinic of the Ludwig Maximilians University of Munich

Oversight

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

Not currently enrolling

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

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