This trial is active, not recruiting.

Conditions diabetic retinopathy, retinal neovascularisation
Treatments ranibizumab, saline
Phase phase 4
Target VEGF
Sponsor Moorfields Eye Hospital NHS Foundation Trust
Collaborator Novartis
Start date May 2011
End date March 2013
Trial size 30 participants
Trial identifier NCT01306981, BAIJ1006


This study will evaluate the effect of ranibizumab on patients undergoing vitrectomy surgery for the complications of diabetic retinopathy.

Vitrectomy surgery can be difficult and bleeding after the operation can reduce vision for patients. Our hypothesis is that injection into the eye of ranibizumab one week before surgery will make the surgery easier, reduce complications and improve outcome.

In this trial, patients will be randomly allocated to receive either ranibizumab injection or a placebo injection of saline. Neither the patient, their surgeon, nor the study investigators will know which they have received so that a fair comparison can be made.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety/efficacy study
Intervention model parallel assignment
Masking double blind (subject, caregiver, investigator, outcomes assessor)
Primary purpose treatment
ranibizumab Lucentis
Intravitreal injection of ranibizumab, 0.5mg in 0.05ml
(Placebo Comparator)
Subconjunctival injection of 0.05ml saline 0.9% w/v

Primary Outcomes

Best corrected visual acuity
time frame: 12 weeks post-op

Secondary Outcomes

Ease of performing vitrectomy surgery
time frame: One week post injection
Incidence of post-operative vitreous haemorrhage
time frame: 6 weeks post-op
Extent of retinal neovascularisation
time frame: 6 weeks post-op
Extent of tractional retinal detachment
time frame: 1 week post-injection
Extent of macular perfusion
time frame: 12 weeks post-op
Vitreous and serum levels of ranibizumab and related cytokines
time frame: One week post-injection
Incidence of post-operative vitreous haemorrhage
time frame: 12 weeks post-op
Extent of retinal neovascularisation
time frame: 12 weeks post-op

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: 1. Patients of either sex aged 18 years or over 2. Diagnosis of diabetes mellitus (type 1 or type 2). Any one of the following will be considered to be sufficient evidence that diabetes is present: - Current regular use of insulin for the treatment of diabetes - Current regular use of oral anti-hyperglycaemic agents for the treatment of diabetes - Documented diabetes by ADA and/or WHO criteria (see Procedures Manual for Diagnosis of Diabetes) 3. Proliferative diabetic retinopathy with complications of this requiring vitrectomy surgery with anticipated delamination of pre-retinal fibrovascular complexes 4. Ability to return for study visits 5. Ability to give informed consent throughout the duration of the study Exclusion Criteria: 1. Hypersensitivity to the active substance or to any of the excipients. 2. Active or suspected ocular or periocular infections. 3. Vitreous haemorrhage presumed to be caused by vitreous traction on a single, focal point of vitreoretinal attachment 4. Cataract that, in the opinion of the investigators, would be significant enough to impair the view during surgery 5. Active severe intraocular inflammation 6. Previous vitrectomy surgery on study eye 7. Vision in fellow eye 3/60 or worse 8. Uncontrolled glaucoma 9. History of stroke, peripheral vascular disease, angina or myocardial infarction within six months prior to randomisation 10. Systemic anti-VEGF or pro-VEGF treatment within 3 months prior to randomisation 11. Pregnancy or lactation 12. Male or female unwilling to use contraception

Additional Information

Official title A Prospective, Randomised Controlled Trial of Ranibizumab Pre-treatment in Diabetic Vitrectomy - a Pilot Study
Principal investigator James W Bainbridge, MA PhD FRCOphth
Description The RaDiVit study is a pilot randomised controlled trial to evaluate the effect of ranibizumab as an adjunct to diabetic vitrectomy surgery. Patients with complications of proliferative diabetic retinopathy who require vitrectomy surgery will be recruited to this study. Baseline tests will be performed, including refracted visual acuity, B-scan ultrasound, OCT scanning, colour fundus photography and fundus fluorescein angiography. Patients will be randomised 1:1 to receive either ranibizumab intravitreal injection or saline subconjunctival injection. One week later, surgery will be carried out. The baseline tests will be repeated on the day of surgery to examine for any discernible difference between the two groups one week after treatment. Surgery will be video recorded and detailed assessments of the operative details carried out. A vitreous sample and a paired serum sample will be taken at the time of surgery to compare levels of ranibizumab and related cytokines. Follow up visits will take place at six and twelve weeks. Assessments at that point will include: - visual acuity - OCT scan - colour fundus photography and fundus fluorescein angiography
Trial information was received from ClinicalTrials.gov and was last updated in February 2013.
Information provided to ClinicalTrials.gov by Moorfields Eye Hospital NHS Foundation Trust.