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Changes in mfERG and OCT as a Gauge for Inflammatory Activity and Macular Edema in Anterior Uveitis; Establishing Normal Ranges; Age, Gender and Contraception Status. Correlation Between Anatomy and Function.

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: Norwegian University of Science and Technology
St. Olavs Hospital
Information provided by: Norwegian University of Science and Technology
ClinicalTrials.gov Identifier: NCT00476593
  Purpose

Multifocal ElectroRetinogram (mfERG) is a relatively new method for an objective assessment of central retinal function, while Optical Coherence Tomography (OCT) is an established technology which has become popular in the clinics for the anatomical study of the same retinal region. This study is to evaluate whether uncomplicated anterior uveitis leads to anatomical changes in the macular region on OCT and /or functional changes on mfERG.


Condition Intervention
Uveitis
Iritis
Iridocyclitis
Anterior Uveitis
Drug: Eye drops, mfERG and OCT scans

MedlinePlus related topics:   Anatomy    Birth Control    CT Scans    Edema    Nuclear Scans   

ChemIDplus related topics:   Dexamethasone    Dexamethasone acetate    Dexamethasone Sodium Phosphate    Doxiproct plus    Tetrahydrozoline    Tetrahydrozoline hydrochloride    Diclofenac    Diclofenac potassium    Diclofenac sodium    Tropicamide   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Basic Science, Randomized, Open Label, Active Control, Parallel Assignment
Official Title:   Changes in Multifocal Electroretinogram and Optical Coherence Tomography as a Gauge for Inflammatory Activity and Macular Edema Developement in Anterior Uveitis Patients, Compared to Healthy Volunteers; Possible Indicator for Blindness Preventive Treatment.

Further study details as provided by Norwegian University of Science and Technology:

Primary Outcome Measures:
  • Macular thickness and function [ Time Frame: days to weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Correlations between age, gender and contraception status with mfERG and OCT [ Time Frame: days to weeks ] [ Designated as safety issue: No ]

Estimated Enrollment:   100
Study Start Date:   September 2005
Estimated Study Completion Date:   January 2009
Primary Completion Date:   February 2008 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
A Diclofenac: Active Comparator
Diclofenac 1 mg/ml eye drops given to healthy volunteers four times a day for three days
Drug: Eye drops, mfERG and OCT scans
All participants were taken OCT scans of, some needed tropicamide 0.5% one drop in each eye to complete scan. MfERG testing was done, in order to complete such testing oxybuprocaine two drops and tropicamide one drop were given before the procedure. Contact lens electrode was placed on corneas and scans were taken. One group of healthy volunteers received dexamethasone 0.1% six times a day for three days, starting three days prior mfERG and OCT scans, while another group of healthy volunteers received diclofenac 1 mg/ml four times a day for three days prior to the testing.
B Dexamethasone: Active Comparator
Dexamethasone 0.1% was given six times a day for three days prior to testing to healthy volunteers
Drug: Eye drops, mfERG and OCT scans
All participants were taken OCT scans of, some needed tropicamide 0.5% one drop in each eye to complete scan. MfERG testing was done, in order to complete such testing oxybuprocaine two drops and tropicamide one drop were given before the procedure. Contact lens electrode was placed on corneas and scans were taken. One group of healthy volunteers received dexamethasone 0.1% six times a day for three days, starting three days prior mfERG and OCT scans, while another group of healthy volunteers received diclofenac 1 mg/ml four times a day for three days prior to the testing.

Detailed Description:

We have collected OCT scans and mfERG recordings from patients with current anterior uveitis on follow up until the uveitis went into remission. Since we did not have normal ranges for neither OCT nor mfERG values we had also to recruit healthy subjects to go through same tests.

Patients with anterior uveitis were receiving treatment with eye drops until the inflammation declined, we asked also healthy subjects to apply eye drops in one eye to test the effect of the uveitis treatment on macular function and anatomy. We wished to show that the uveitis and not the treatment of it leads to changes in the tests. Only this part of the study is interventional, the intervention is with two types of eye drops which are widely used in the clinics.

Both OCT and mfERG results in healthy subjects are to be analysed for statistical correlations with age, gender and contraception status, to see whether these factors need to be taken into consideration when analyzing results from patients. Results of these tests are to be published consecutively in several different publications. Test results from patients are so to be statistically compared to those from healthy subjects, possibly in stratified groups (according to the results from the preliminary testing of healthy subjects) and results are anticipated to be published separately for OCT and mfERG. Correlation studies of mfERG with OCT in patients with anterior uveitis would hopefully also be available for a publishing towards the end of the trial period.

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Criteria

Inclusion Criteria: Adults healthy volunteers and adult patients with anterior uveitis who wish to participate Exclusion Criteria: Patients with anterior uveitis who have other systemic diseases in addition to anterior uveitis. Patients with anterior uveitis who do not wish to participate. Patients who are allergic to local anesthesia or mydriatics, patients who cannot receive mydriatics. Patients with diagnosed or suspected epilepsia. Persons who have had an operation on their eyes. Persons with diagnosed or suspected eye disease other than anterior uveitis. Persons with high myopia or high hyperopia. Subjects who cooperate poorly.

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00476593

Locations
Norway
NTNU, DMF institutt for Nevromedisin    
      Trondheim, Norway

Sponsors and Collaborators
Norwegian University of Science and Technology
St. Olavs Hospital

Investigators
Study Chair:     Tor Elsås, Professor     Ophtalmology department, St Olavs Hospital    
  More Information

The faculty of NTU  This link exits the ClinicalTrials.gov site
 

Responsible Party:   Norwegian University of Science and Technology ( Alexandra Wexler )
Study ID Numbers:   47026200, NSD 200500943, REK 4.2005.13
First Received:   May 21, 2007
Last Updated:   August 11, 2008
ClinicalTrials.gov Identifier:   NCT00476593
Health Authority:   Norway: The National Committees for Research Ethics in Norway

Keywords provided by Norwegian University of Science and Technology:
Uveitis  
Iritis  
Macular Thickness  
HLA related  
Macular edema  
OCT  
ERG
mfERG
Eye drops
Dexamethosone
Diclofenac

Study placed in the following topic categories:
Dexamethasone
Uveitis, Anterior
Panuveitis
Tropicamide
Eye Diseases
Diclofenac
Edema
Macular Degeneration
Retinal Degeneration
Tetrahydrozoline
Blindness
Healthy
Macular Edema
Iridocyclitis
Uveitis
Iritis
Dexamethasone acetate
Retinal Diseases
Retinal degeneration

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Uveal Diseases
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Cyclooxygenase Inhibitors
Physiological Effects of Drugs
Gastrointestinal Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Antiemetics
Enzyme Inhibitors
Glucocorticoids
Hormones
Pharmacologic Actions
Iris Diseases
Sensory System Agents
Analgesics, Non-Narcotic
Autonomic Agents
Therapeutic Uses
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Peripheral Nervous System Agents
Antirheumatic Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on August 20, 2008




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