Bevacizumab Eliminates the Angiogenic Threat of Retinopathy of Prematurity
This trial is active, not recruiting.
|Condition||retinopathy of prematurity|
|Treatments||bevacizumab, conventional laser for rop|
|Sponsor||The University of Texas Health Science Center, Houston|
|Start date||March 2008|
|End date||October 2010|
|Trial size||150 participants|
|Trial identifier||NCT00622726, HSC-MS-08-0036, IND: 101,578|
The purpose of this study was to determine the efficacy and additional advantages of intravitreal bevacizumab in the treatment of ROP for both Zone I and Zone II Posterior.
|United States||No locations recruiting|
|Other Countries||No locations recruiting|
|Pasadena, CA||Huntington Memorial Hospital||no longer recruiting|
|Denver, CO||Presbyterian-St. Luke's Hospital||no longer recruiting|
|Peoria, IL||OSF St. Francis Medical Center-Children's Hospital of Illinois||no longer recruiting|
|Columbia, SC||Palmetto Health Baptist Hospital||no longer recruiting|
|Columbia, SC||Palmetto Health Richland Hospital||no longer recruiting|
|Corpus Christi, TX||Driscoll Children's Hospital||no longer recruiting|
|Dallas, TX||Baylor University Medical Center||no longer recruiting|
|El Paso, TX||Del Sol Medical Center||no longer recruiting|
|El Paso, TX||Las Palmas Medical Center||no longer recruiting|
|El Paso, TX||R.E. Thomason Hospital||no longer recruiting|
|Fort Worth, TX||Cook Children's Medical Center||no longer recruiting|
|Houston, TX||Children's Memorial Hermann Hospital||no longer recruiting|
|Houston, TX||Memorial Hermann Southwest Hospital||no longer recruiting|
|Houston, TX||St. Joseph Medical Center||no longer recruiting|
|Webster, TX||Clear Lake Regional Medical Center||no longer recruiting|
|Endpoint classification||efficacy study|
|Intervention model||parallel assignment|
Number of Eyes Showing Recurrence of Neovascularization Arising From the Retinal Vessels and Requiring Re-treatment
time frame: 54 weeks postmenstrual age (window of 50 to 70 weeks)
Myopia in Zone I and Posterior Zone II of Infant Eyes
time frame: 2.5 years of age
time frame: Age 7 years.
Male or female participants up to 22 weeks old.
Inclusion Criteria: 1. Infants who have been screened by the American Academy of Ophthalmology, the American Academy of Pediatrics, and the American Association for Pediatric Ophthalmology and Strabismus guidelines (≤1500 grams at birth and ≤30 weeks gestation) who develop Stage 3 ROP in zone I or posterior zone II. 2. Informed Consent from a parent or guardian. Exclusion Criteria: 1. Infants who have a congenital systemic anomaly or have a congenital ocular abnormality. 2. Infants who cannot be treated by conventional laser therapy because of problems with media clarity. Generally, blind external cryotherapy would be utilized as an initial therapy and the infant would be excluded from the study even if the media clear subsequently. 3. Informed Consent from a parent or guardian refused. This will mean that an infant automatically will receive laser therapy. Bevacizumab (Avastin®) treatment cannot be given outside of the Protocol. No data will be used from an infant without Informed Consent.
|Official title||Intravitreal Bevacizumab (AvastinTM) Injections Versus Conventional Laser Surgery for Vision-threatening Retinopathy of Prematurity: a Prospective, Randomized, Non-blinded, Controlled, Multi-center, Clinical Trial|
|Principal investigator||Helen A. Mintz-Hittner, M.D.|
|Description||This phase 2 study assessed the anti-neovascularization activity of intravitreal bevacizumab, as determined by regression of neovascular vessels of retinopathy of prematurity (ROP), in neonates with acute stage 3 ROP in zone I or posterior zone II with plus disease. This study enrolled 150 confirmed cases of vision threatening ROP which have definite plus disease [ranging from Early Treatment for Retinopathy of Prematurity, to Cryotherapy for Retinopathy of Prematurity . This was done because of the controversy regarding determining plus disease and the increasing concern that many infants are being treated whose ROP would spontaneously regress. Bevacizumab will be administered intravitreally using 0.625 mg (0.025 ml) injections into each eye. There was no intent to give additional doses unless there was a recurrence of vision threatening stage 3 ROP with plus disease since the disease is self limited by completion of vascularization. Clinical response and any evidence of ocular toxicities were documented by retinal imaging system (manufactured by Clarity Medical Systems, Inc.) taken pre-injection, one week and one month post injection, and at 6 months of age (54 weeks postmenstrual age)(window of 50 to 70 weeks PMA)(primary outcome) and at 12 months of age (80 weeks postmenstrual age)(window of 75 to 100 weeks PMA)(structural documentation). Using the same retinal imaging system, fluorescein angiograms have been taken when possible to document structural outcomes in greater detail. No evidence of systemic toxicities were documented by appropriate clinical and laboratory tests.|
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