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TerminatedNCT02650050LAMEDUpdated Jun 17, 2019

Micropulsed Laser in Association With Anti-VEGF for the Treatment of Macular Edema in Diabetic Patients (LAMED).

An interventional study of Micropulsed laser photocoagulation in Macular Edema and Mellitus Diabetes, sponsored by Fondation Ophtalmologique Adolphe de Rothschild. Terminated at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-06-17.

Sponsored by Fondation Ophtalmologique Adolphe de Rothschild · Not applicable, Interventional, and Treatment

Why this study was terminated
Number of eligible patients too low
Phase
Not applicable
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Diabetes is a major cause of blindness in adults in the developed countries. The retinal damages associated with diabetes lead to gradual loss of vision, which is accentuated when the macula is affected. This results in macular edema.

Currently, intravitreal injections of anti-VEGF have demonstrated their effectiveness and are the first line treatment of macular edema.

Subthreshold micropulsed laser photocoagulation is an alternative to conventional grid photocoagulation. By delivering pulsed impacts under the thermal lesion threshold of the pigment epithelium, it would not cause the side effects of conventional photocoagulation. Micropulsed photocoagulation combined to anti-VEGF injections, could be the most effective treatment with a minimum injection number and without epithelial lesions.

The main objective of this study is to show that the subthreshold micropulsed laser photocoagulation, in association with intravitreal injections of anti-VEGF, allows to reduce the number of anti-VEGF injections during the first year of treatment.

In this randomized, double blind study, eligible patients will be randomized between a micropulsed laser photocoagulation arm and a sham micropulsed laser photocoagulation arm.

02

Conditions studied

  • Macular Edema
  • Mellitus Diabetes
03

In context

Macular Edema

841 studies on the registry are indexed under Macular Edema; 56 are open to participants now.

This study's enrollment of 5 is below the median of 50 across 619 interventional studies indexed under Macular Edema.

Browse Macular Edema studies →

Lead sponsor

Fondation Ophtalmologique Adolphe de Rothschild is the lead sponsor of 311 studies on the registry; 77 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

Inclusion criteria

  • 18 years or more
  • macular edema associated with a 1 or type 2 diabetes with a hemoglobin A1C level over 5.5% and under \<13%
  • indication for a treatment with intra-vitreal injections of ranibizumab

Exclusion criteria

Exclusion Criteria:

  • treatment with anti-VEGF during the previous 2 months
  • treatment by intra-vitreous implant of dexamethasone during the previous six months
  • previous history of vitrectomy or glaucoma
  • photocoagulation during the previous 3 months
  • patient's opposition to participate to the study
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Micropulsed laser photocoagulation

    Radiation: Micropulsed laser photocoagulation

  • Sham comparator
    Sham micropulsed laser photocoagulation

    Radiation: Micropulsed laser photocoagulation

Interventions

  • RadiationMicropulsed laser photocoagulation

    Micropulsed laser photocoagulation after 3 anti-VEGF injections

06

What researchers measure

Primary outcomes

  1. Number of intra-vitreal anti-VEGF injections

    Time frame: One year

Secondary outcomes

  1. Time to reduction of the macular thickness

    Time frame: One year

07

Study locations

1 site
  • Fondation ophtalmique Adolphe de Rothschild
    Paris, 75019, France
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 17, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02650050
Lead sponsor
Fondation Ophtalmologique Adolphe de Rothschild
Responsible party
Sponsor
First posted
Jan 8, 2016
Start date
Jan 19, 2016
Primary completion
Jun 4, 2019
Completion
Jun 4, 2019
Last update
Jun 17, 2019

Study contacts

Georges CAPUTO
principal investigator · Fondation ophtalmologique de Rothschild

Oversight

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

Not currently enrolling

This study is terminated, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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