UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011656
Receipt number R000013632
Scientific Title Posterior subtenon injection of triamcinolone acetonide reduces the use of intravitreal bevacizumab for diffuse diabetic macular edema
Date of disclosure of the study information 2013/09/05
Last modified on 2016/12/31 21:09:10

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Basic information

Public title

Posterior subtenon injection of triamcinolone acetonide reduces the use of intravitreal bevacizumab for diffuse diabetic macular edema

Acronym

Combination therapy for DDME

Scientific Title

Posterior subtenon injection of triamcinolone acetonide reduces the use of intravitreal bevacizumab for diffuse diabetic macular edema

Scientific Title:Acronym

Combination therapy for DDME

Region

Japan


Condition

Condition

Diffuse Diabetic Macular Edema

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effectiveness of posterior subtenon injections of triamcinolone acetonide during treatment with intravitreal injections of bevacizumab in eyes with diffuse diabetic macular edema.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Foveal thickness were monitored monthly for 1-year. The total number of intravitreal injections of bevacizumab injections during the follow-up

Key secondary outcomes

logMAR visual acuity and intraocular pressure


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Initially, both eyes of each patient received 1.25mg/0.05ml of intravitreal injection of bevacizumab. One eye then received 20mg/0.5ml of subtenon injection of triamcinolone acetonide at the onset, and at 16, 32 and 48 weeks. The other eye acted as the control eye and was not treated with subtenon injection of triamcinolone acetonide

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Type II diabetic patients whose bilateral DDME with foveal thickness greater than 400 micrometer and with logMAR visual acuity worse than 0.3

Key exclusion criteria

Eyes with severe proliferative retinopathy were excluded from the study. Patients with a history of focal or pan retinal photocoagulation and/or cataract surgery in either eye within the 6 months prior to entry into the study, and patients who had previous therapies for DDME, including grid laser treatment, intravitreal injection of any drugs, and/or vitreous surgery, were excluded from this study. Patients with systemic disorders other than hypertension and hypercholesterolemia were excluded from this study.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiko Shimura

Organization

Tokyo Medical University Hachioji Medical Center

Division name

Department of Ophthalmology

Zip code


Address

1163 Tate-machi,Hachioji, Tokyo

TEL

090-2274-8107

Email

masahiko@v101.vaio.ne.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masahiko Shimura

Organization

Tokyo Medical University Hachioji Medical Center

Division name

Department of Ophthalmology

Zip code


Address

1163 Tate-machi,Hachioji, Tokyo

TEL

090-2274-8107

Homepage URL


Email

masahiko@v101.vaio.ne.jp


Sponsor or person

Institute

NTT East Japan Tohoku Hospital

Institute

Department

Personal name



Funding Source

Organization

NTT East Japan Tohoku Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

NTT東日本東北病院


Other administrative information

Date of disclosure of the study information

2013 Year 09 Month 05 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/27306783

Number of participants that the trial has enrolled


Results

Subtenon triamcinolone acetonide (STTA)-treated eyes, as compared to their controls, had significantly more regression of foveal thickness (FT) and improvement of visual acuity (VA) at several time points during the study. The required number of intravitreal injection of bevcizumab (IVB) injections in STTA-treated eyes during the study was 5.00 plus-minus 1.75, which was significantly less than 7.95 plus-minus 1.57 in the control eyes.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2013 Year 09 Month 01 Day

Last follow-up date

2014 Year 12 Month 31 Day

Date of closure to data entry

2014 Year 12 Month 31 Day

Date trial data considered complete

2014 Year 12 Month 31 Day

Date analysis concluded

2015 Year 01 Month 31 Day


Other

Other related information



Management information

Registered date

2013 Year 09 Month 05 Day

Last modified on

2016 Year 12 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000013632


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name