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RETINAL CLINICAL TRIALS

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<strong>RETINAL</strong> <strong>CLINICAL</strong> <strong>TRIALS</strong><br />

<strong>CLINICAL</strong> TRIAL OPTIONS FOR YOUR PATIENTS<br />

SAVE SIGHT INSTITUTE &<br />

SYDNEY EYE HOSPITAL<br />

CONDITION KEY CRITERIA* TRIAL DETAILS STATUS<br />

Diabetic<br />

Macular<br />

Oedema #1<br />

Diabetic<br />

Macular<br />

Oedema #2<br />

Diabetic<br />

Macular<br />

Oedema #3<br />

Diabetes<br />

+/- Diabetic<br />

Retinopathy<br />

RVO<br />

Macular<br />

Telangiectasia<br />

VA 6/12-6/120.<br />

Can enroll OU.<br />

Central thickness >250μm.<br />

Laser unlikely to benefit<br />

VA 6/12 - ~6/90;<br />

Diabetic macular oedema > 300 μm;<br />

Could benefit from laser<br />

3 months since laser or anti-VEGF<br />

medication in study eye<br />

VA ~6/7.5 – 6/60;<br />

Central Retinal Thickness > 350 μm;<br />

Laser unlikely to benefit and at least<br />

3 months since previous laser, steriods<br />

and anti-VEGF<br />

Type I diabetes.<br />

Type II diabetes >5yrs and on<br />

medication<br />

VA 6/12 - ~6/90.<br />

CRVO < 9months or BRVO < 12m<br />

prior to screening w Macular<br />

involvement.<br />

CMT >275μm (Stratus,) >300 (Cirrus,)<br />

or 320μm Spectralis.<br />

MACTEL Patients and their<br />

primary family members<br />

2 yr trial.<br />

Dexamethasone slow<br />

release implant vs<br />

Avastin (1:1)<br />

3 yr trial VEGF Trapeye<br />

(2 dose schedules)<br />

vs laser 2:1<br />

6 months eye drop<br />

(FOV2304) trial;<br />

placebo controlled<br />

Non therapeutic<br />

genetic study. Single<br />

blood draw, eye<br />

exam & history. x1 visit<br />

12m trial. Monthly<br />

visits. Control drug is<br />

Ozurdex.<br />

5 year, natural history<br />

study.<br />

Yearly visits over 5 yrs.<br />

Family members x1<br />

visit<br />

RECRUITING<br />

RECRUITING<br />

RECRUITING<br />

for a<br />

late July 2011<br />

start<br />

RECRUITING<br />

RECRUITING<br />

for a<br />

late July 2011<br />

start<br />

RECRUITING<br />

* Expanded criteria on reverse<br />

More Details, Patient Information Sheets, Consent Forms &<br />

All Research Clinic Appointments<br />

Updated<br />

19/7/11<br />

V7.3<br />

PLEASE CALL Study Coordinators: 02 9382 7309 Mob 0412 338 075<br />

sydney.edu.au/medicine/mac<br />

retina@eye.usyd.edu.au<br />

Principal Investigators: Prof Mark Gillies Mob 0412 060 313<br />

A/Prof Samantha Fraser-Bell 02 9382 7309


EXPANDED IINCLUSIION/EXCLUSIION CRIITERIIA<br />

Diabetic Macular Oedema #1<br />

INCLUSION<br />

- DMO affecting fovea in one or both eyes where laser Rx is<br />

unlikely to benefit<br />

- VA 6/12-6/120<br />

- Retinal thickness >250 μm on OCT<br />

EXLCUSION<br />

- Uncontrolled glaucoma, or controlled glaucoma on >1<br />

medication<br />

- MO or vision loss due to other causes<br />

- IVTA within 6 months. Peribulbar TA within 3 months<br />

- Retinal laser within 3 months<br />

- Systemic steroid Rx equiv >5mg prednisone/day<br />

- BP >180/110<br />

Diabetic Macular Oedema #2<br />

INCLUSION – DMO (Type I or II diabetes)<br />

-VA 6/12-6/90 study eye<br />

- Central thickness Cirrus OCT ≥300μm<br />

-could benefit from laser<br />

EXCLUSION – Laser or Anti-VEGF injections 3 months prior to<br />

study, Cataract or other ocular surgery 12%,BP >160 or >95 mmHg, CVA or MI last 6 months<br />

->2 macular laser treatments in study eye<br />

-IOP> 25mmHg study eye<br />

Diabetic Retinopathy<br />

INCLUSION: >18yo. Type 1 diabetes. Type 2 diabetes >5yrs & on<br />

meds<br />

RVO<br />

INCLUSION<br />

- ≥ 18yo<br />

- Presence of macular edema due to non-ischemic BRVO or<br />

CRVO with onset < 9m in CRVO or 275μm (Stratus,) >300 (Cirrus,) >320 (Spectralis)<br />

EXCLUSION<br />

- Retinal Laser within 3months<br />

- Cataract or Lasik Sx within last 3months or expected<br />

during trial.<br />

- Intravitreal injectable drug other than corticosteroids<br />

within 2months<br />

- Ocular Hypertension (IOP >21mmHg) of Hx of Glaucoma<br />

Macular Telangiectasia<br />

INCLUSION: - ≥18 yo MacTel Type 2<br />

Diabetic Macular Oedema #3<br />

INCLUSION – DMO (Type I or II diabetes)<br />

-VA ~6/7.5-6/60 study eye<br />

- Central thickness Cirrus OCT ≥350μm<br />

-could NOT benefit from laser (or pt refuses)<br />

EXCLUSION – Laser, steroids or Anti-VEGF injections 3 months<br />

prior to study, Cataract or other ocular surgery < 90 days,<br />

panretinal photocoagulation < 4 month ,<br />

-pars planar vitrectomy ,active PDR , vitreomacular traction, or<br />

condition in study eye which could contribute to macular oedema<br />

- HBA1c >10%,BP >160 or >90 mmHg, CNV<br />

-> 1 med for glaucoma<br />

-IOP> 25mmHg study eye<br />

Studies in the Clinical Trial Pipeline:<br />

1. Dry AMD<br />

2. DME/DMO Oral<br />

3. BRVO/CRVO<br />

4. Wet AMD

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