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A Randomized, Placebo-Controlled Clinical Trial of Intravitreal Triamcinolone for Refractory Diabetic Macular Edema
This study has been completed.
First Received: August 29, 2006   Last Updated: February 27, 2007   History of Changes
Sponsor: Shaheed Beheshti Medical University
Information provided by: Shaheed Beheshti Medical University
ClinicalTrials.gov Identifier: NCT00369863
  Purpose

To determine the efficacy and safety of intravitreal triamcinolone acetonide for refractory diabetic macular edema.


Condition Intervention Phase
Diabetic Macular Edema
Drug: Triamcinolone acetonide
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study

Resource links provided by NLM:


Further study details as provided by Shaheed Beheshti Medical University:

Primary Outcome Measures:
  • Central macular thickness

Secondary Outcome Measures:
  • Visual acuity
  • intraocular pressure
  • Cataract progression
  • Cystoid macular edema
  • Macular hard exudates
  • Macular leakage severity in FA

Estimated Enrollment: 76
Study Start Date: June 2002
Estimated Study Completion Date: June 2003
Detailed Description:

Overall 80% of diabetic patients with low vision are in the nonproliferative stage and the main cause of decreased visual acuity is macular edema.

According to the early treatment diabetic retinopathy study (ETDRS), the treatment of choice for diabetic macular edema (DME) is laser therapy, which may be neither effective nor curative in some patients.There are many cases which are refractory to laser treatment or not suitable candidates for it.

Corticosteroids might have a beneficial effect on DME. They have been used with different doses and routes (periocular,intravitreal,and slow released implants) for a variety of retinal diseases.

Recently, a few prospective randomized studies, concerning the effect of intravitreal triamcinolone acetonide (IVT) on DME have been published. In their two-year results, Gillies et al. concluded that IVT improved vision and reduced macular thickness in eyes with refractory diabetic macular edema. They showed that this beneficial effect persisted for up to 2 years with repeated treatment.

We also conducted a randomized placebo-controlled clinical trial to determine the safety and efficacy of IVT for intractable DME. Besides, we tried to evaluate the effect of this intervention on angiographic findings of these patients.

  Eligibility

Ages Eligible for Study:   44 Years to 79 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinically significant macular edema(CSME)
  • Clinically significant macular edema(CSME)refractory to initial or supplemental macular photocoagulation

Exclusion Criteria:

  • Mono-ocular patients
  • History of vitrectomy
  • Glaucoma or ocular hypertension
  • Significant media opacity
  • Traction on the macula
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00369863

Locations
Iran, Islamic Republic of
Labbafinejad Medical Center
Tehran, Iran, Islamic Republic of, 16666
Sponsors and Collaborators
Shaheed Beheshti Medical University
Investigators
Principal Investigator: Mohammad - Hossein Dehghan, MD Ophthalmic Research Center of Shaheed Beheshti Medical University
  More Information

No publications provided

Study ID Numbers: 8126
Study First Received: August 29, 2006
Last Updated: February 27, 2007
ClinicalTrials.gov Identifier: NCT00369863     History of Changes
Health Authority: Iran: Ethics Committee

Keywords provided by Shaheed Beheshti Medical University:
Cystoid macular edema
Diabetic macular edema
Hard exudates
Intravitreal triamcinolone
Macular thickness

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Eye Diseases
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Edema
Macular Degeneration
Retinal Degeneration
Enzyme Inhibitors
Triamcinolone diacetate
Immunosuppressive Agents
Hormones
Glucocorticoids
Pharmacologic Actions
Triamcinolone hexacetonide
Macular Edema
Signs and Symptoms
Triamcinolone Acetonide
Therapeutic Uses
Triamcinolone
Retinal Diseases

ClinicalTrials.gov processed this record on February 08, 2010