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Intravitreal Adalimumab in Refractory Diabetic Retinopathy, Choroidal Neovascularization or Uveitis: A Pilot Study (ADA01)
The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified September 2009 by Rafic Hariri University Hospital.
Recruitment status was: Recruiting
Recruitment status was: Recruiting
Sponsor:
Rafic Hariri University Hospital
Collaborator:
American University of Beirut Medical Center
Information provided by:
Rafic Hariri University Hospital
ClinicalTrials.gov Identifier:
NCT00855608
First received: March 2, 2009
Last updated: July 20, 2011
Last verified: September 2009
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Purpose
Direct intravitreal administration of medication is the preferred method of treatment for uveitis and retinal vascular disorders. The eye is a self contained organ relatively isolated from the systemic circulation by the tight blood retinal barrier. Effective intraocular drug levels can be achieved with a much smaller amount of medication if injected intravitreally and this also results in minimal systemic exposure to the patient. Preliminary studies have shown that adalimumab may have a positive role in the management of uveitis in humans and can be an effective treatment intravitreally in animal models. No data has been published yet on intravitreal use of adalimumab in human subjects.
| Condition | Intervention | Phase |
|---|---|---|
| Uveitis Diabetic Retinopathy Choroidal Neovascularization | Drug: adalimumab | Phase 1 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Safety and Tolerability of Intravitreal Adalimumab in Patients With Refractory Diabetic Macular Retinopathy or Choroidal Neovascularization or Uveitis: A Pilot Study |
Resource links provided by NLM:
Further study details as provided by Rafic Hariri University Hospital:
Primary Outcome Measures:
- The main outcome measure will be visual acuity improvement (3 lines) [ Time Frame: 6 weeks ]
Secondary Outcome Measures:
- central foveal thickness and angiographic lesion size [ Time Frame: 6 weeks ]
| Estimated Enrollment: | 15 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | March 2013 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: adalimumab arm
intravitreal mode of delivery
|
Drug: adalimumab
intravitreal adalimumab injection 0.03 ml in volume (1.5mg) one dose to one eye
Other Name: Humira
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 17 Years to 88 Years (Child, Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Ability to provide written informed consent and comply with study assessments for the full duration of the study
- Age > 17 years
- Patients with active choroidal neovascularization, diabetic retinopathy, or uveitis in the study eye which did not improve with conventional therapy
- Best corrected visual acuity of 20/70 or less.
Exclusion Criteria:
- Are participating in another clinical study requiring follow up examinations
- Have received any other experimental drug within 12 weeks prior to enrollment
- Are unwilling or unable to follow or comply with all study-related procedures
- Inability to obtain photographs, fluorescein angiography, or optical coherence tomography to document CNV, e.g. due to media opacity, allergy to fluorescein dye or lack of venous access
- Aphakia or pseudophakia with the absence of posterior capsule (unless it resulted from a yttrium aluminum garner [YAG]) posterior capsulotomy)
- Within two months prior to screening, have had intraocular surgery (including cataract surgery) in the study eye
- Within 1 month prior to screening had YAG laser in the study eye
- Have had intravitreal anti VEGF or intravitreal steroids in the last 6 weeks
- Have had previous pars plana vitrectomy in the study eye
- Are pregnant or are trying to become pregnant
- Any other condition that the investigator believes would pose a significant hazard to the subject if the investigational therapy were initiated
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study.
To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00855608
Please refer to this study by its ClinicalTrials.gov identifier: NCT00855608
Contacts
| Contact: ahmad m mansour, md | 9611374625 | dr.ahmad@cyberia.net.lb | |
| Contact: george Mollayess, md | 961350000 ext 5750 | gm23@aub.edu.lb |
Locations
| Lebanon | |
| Rafic Hariri University Hospital | Recruiting |
| Beirut, South Beirut, Lebanon, 1136044 | |
| Contact: ahmad m mansour, md 9611374625 dr.ahmad@cyberia.net.lb | |
| Contact: george mollayes, md 01350000 ext 5750 gm23@aub.edu.lb | |
| Principal Investigator: ahmad m mansour, md | |
Sponsors and Collaborators
Rafic Hariri University Hospital
American University of Beirut Medical Center
Investigators
| Principal Investigator: | ahmad m mansour, md | RHUH |
More Information
Publications:
| Responsible Party: | Professor Ahmad Mansour, RHUH |
| ClinicalTrials.gov Identifier: | NCT00855608 History of Changes |
| Other Study ID Numbers: |
RHUH |
| Study First Received: | March 2, 2009 |
| Last Updated: | July 20, 2011 |
Keywords provided by Rafic Hariri University Hospital:
|
choroidal neovascularization diabetic retinopathy uveitis refractory cases of uveitis |
Additional relevant MeSH terms:
|
Retinal Diseases Diabetic Retinopathy Uveitis Neovascularization, Pathologic Choroidal Neovascularization Eye Diseases Diabetic Angiopathies Vascular Diseases Cardiovascular Diseases Diabetes Complications |
Diabetes Mellitus Endocrine System Diseases Uveal Diseases Metaplasia Pathologic Processes Choroid Diseases Adalimumab Anti-Inflammatory Agents Antirheumatic Agents |
ClinicalTrials.gov processed this record on July 21, 2017