CClinicalTrials.gg
Status unknownNCT03765112Updated Oct 1, 2021

Macular Involvement in Diabetic Retinopathy Evaluated With Swept-Source OCT

An interventional study of Optical coherence tomography angiography in Diabetes Mellitus and Diabetic Retinopathy, sponsored by University of British Columbia. Status unknown at 1 site in Canada. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-10-01.

Sponsored by University of British Columbia · Not applicable, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Sep 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
175
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates micro-vascular changes in patients with diabetes. Results of diseased retinas will be compared to healthy controls.

Read the detailed description

The prevalence of diabetes mellitus (DM) is increasing worldwide. Diabetic retinopathy is the most prevalent complication of DM and a leading cause of visual impairment due to closure of capillaries. High-resolution imaging techniques of the retina and its supplying vascular networks can allow novel insight to subtle changes that cannot be appreciated in standard fundus examination. In this study capillary changes of patients with different severity levels of diabetic retinopathy will be investigated with non-invasive imaging technology to better understand the process of disease progression.

Imaging will be done with Optical Coherence tomography (OCT) angiography as well as spectral domain OCT and ultra wide-field imaging.

02

Conditions studied

  • Diabetes Mellitus
  • Diabetic Retinopathy
03

In context

Retinal Diseases

815 studies on the registry are indexed under Retinal Diseases; 105 are open to participants now.

This study's planned enrollment of 175 is above the median of 60 across 500 interventional studies indexed under Retinal Diseases.

Browse Retinal Diseases studies →

Lead sponsor

University of British Columbia is the lead sponsor of 1,309 studies on the registry; 253 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

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
Yes

Inclusion criteria

  • Age ≥18 Participants can have 1 or 2 study eyes

Patient Group:

  • Diabetes mellitus type 1 or 2
  • Study eye with any DR severity level: no DR, mild NPDR, mod NPDR, sev NPDR, PDR

Exclusion criteria

Exclusion Criteria:

  • Substantial media opacities that would preclude successful imaging

    • Active intraocular inflammation (grade trace or above) in either eye like infectious conjunctivitis, keratitis, scleritis, endophthalmitis as well as idiopathic or autoimmune-associated uveitis in either eye
    • Structural damage to the center of macula in the study eye
    • History of prior panretinal photocoagulation
    • History of treatment with intravitreal agents over the prior 6 months
    • Macular edema involving the central subfield
    • Prior history of vitrectomy
    • Atrophy of retinal pigment epithelium, subretinal fibrosis, laser scar within foveal avascular zone (FAZ) or organized hard exudate plaques
    • Substantial non-diabetic intraocular pathology in the study eye including retinal vascular occlusion, retinal detachment, macular hole, choroidal neovascularization, macula dystrophies
    • Intraocular surgery (including cataract surgery, YAG laser capsulotomy) in the study eye within 3 months preceding Day 0, or history of corneal transplantation in the study eye
    • Uncontrolled glaucoma in the study eye (defined as intraocular pressure ≥ 25 mmHg despite treatment with anti-glaucoma medication)or history of glaucoma filtration surgery
    • Inability to obtain fundus images of sufficient quality to be analyzed and graded
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
175 participants (estimated)

Study arms

  • Experimental
    OCTA

    Patients with diabetes and healthy controls will be imaged with optical coherence tomography (OCT) angiography, Spectral domain OCT and ultra wide-field imaging.

    Device: Optical coherence tomography angiography

Interventions

  • DeviceOptical coherence tomography angiography

    Multiple scans of the retina will be recorded to evaluate microvascular changes.

06

What researchers measure

Primary outcomes

  1. Perfusion density

    The density of perfused capillaries (metric variable) measured with optical coherence tomography angiography (OCTA) will be compared between the different severity levels of diabetic retinopathy as well as to the control arm.

    Time frame: 6 months

Secondary outcomes

  1. Areas of different perfusion density

    Perfusion density of the capillary network will be measured at seven different areas and will be compared within the same patient

    Time frame: 6 months

  2. Foveal avascular zone (FAZ)

    Size (area) of FAZ will be compared between the different severity levels of diabetic retinopathy as well as to the control arm.

    Time frame: 6 months

  3. Foveal avascular zone (FAZ)

    The circularity of FAZ will be compared between the different severity levels of diabetic retinopathy as well as to the control arm.

    Time frame: 6 months

  4. Presence of predominantly peripheral lesions (PPL)

    The presence of PPL (categorical variable yes/no) will be correlated with the perfusion density measured with OCTA

    Time frame: 6 months

  5. Retinal layer thickness

    Retinal layer thickness measured with optical coherence tomography (OCT) will be correlated with the perfusion density measured with OCTA

    Time frame: 6 months

  6. Change in perfusion density in patients with moderate or severe non proliferative diabetic retinopathy (DR) or low risk proliferative DR over the follow up of one year

    Patients with moderate or severe non proliferative diabetic retinopathy (DR) or low risk proliferative DR will be followed over one year. Perfusion density will be measured at each timepoint and followed over the year,

    Time frame: 18 months

07

Study locations

1 of 1 sites recruiting
  • Eye Care Center
    Vancouver, V5Z 3N9, Canada
    Recruiting
08

References and documents

Publications

  • Karst SG, Heisler M, Lo J, Schuck N, Safari A, V Sarunic M, Maberley DAL, Navajas EV. Evaluating Signs of Microangiopathy Secondary to Diabetes in Different Areas of the Retina with Swept Source OCTA. Invest Ophthalmol Vis Sci. 2020 May 11;61(5):8. doi: 10.1167/iovs.61.5.8. PubMed 32392316 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03765112
Lead sponsor
University of British Columbia
Responsible party
Eduardo Navajas (Principal Investigator, University of British Columbia) — Principal investigator
First posted
Dec 5, 2018
Start date
Sep 20, 2018
Primary completion
Jul 1, 2022 (estimated)
Completion
Mar 31, 2023 (estimated)
Last update
Oct 1, 2021

Study contacts

Eduardo Navajas, MD
Contact
edunavajas@gmail.com
604 875 5475
Theresa Wiens
Contact
twiens@eyecarecentre.org
604-875-4111 ext. 62544

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion