Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12605000320651
Ethics application status
Approved
Date submitted
1/09/2005
Date registered
6/09/2005
Date last updated
10/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Age-Related Maculopathy Statin Study
Query!
Scientific title
Role Of Cholesterol-lowering Medications ("Statins") In the Progression of Age-Related Macular Degeneration
Query!
Secondary ID [1]
139
0
01/451H
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
ARMSS
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Age-related macular degeneration
408
0
Query!
Condition category
Condition code
Eye
479
479
0
0
Query!
Diseases / disorders of the eye
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Two tablets of simvastatin, 20 mg each, daily. The planned duration of the intervention/control is five years.
Query!
Intervention code [1]
324
0
Prevention
Query!
Comparator / control treatment
Placebo with an identical appearance.
Query!
Control group
Placebo
Query!
Outcomes
Primary outcome [1]
549
0
Progression of high risk early AMD to late AMD.
Query!
Assessment method [1]
549
0
Query!
Timepoint [1]
549
0
Evaluation of AMD status every 6 months.
Query!
Secondary outcome [1]
1167
0
Dynamics of Visual Functions: Colour sensitivity, Flicker sensitivity, Bleach recovery, Kinetics of Dark adaptation.
Query!
Assessment method [1]
1167
0
Query!
Timepoint [1]
1167
0
Evaluation of visual functions every 6 months.
Query!
Eligibility
Key inclusion criteria
(1) The ability to assess the macula in at least one eye, (2) VA better than or equal to 6/18 in the study eye(s). (3) High risk drusen in both eyes: one or more large soft druse (125 microns), or >10 intermediate drusen (62.5 microns) ORLate AMD (CNV, GA) in one eye and any drusen or pigment change in the study eye.Note: the study eye is allowed to have non-central GA and/or non-neovascular PED (4) cholesterol level within the normal limits according to the person's medical history (5) not currently on any cholesterol-lowering medication.
Query!
Minimum age
50
Years
Query!
Query!
Maximum age
Not stated
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
(1) Medical and ophthalmic conditions which potentially affects visual function, including visually significant cataract (as defined by WILMER's grading method-that is nuclear opacity score of 2.00 or greater, cortical opacity score of greater than 3, any posterior subcapsular cataract), history of diabetes and glaucoma(2) Use of medications which may affect visual function, such as plaquenil, chloroquine, major tranquilizers.(3) cholesterol levels outside the normal limits given person's medical history.(a)Existing coronary heart disease:-- cholesterol > 4 mmol/L(b) Diabetics, people with hypertension, peripheral vascular disease, family history of hypercholesterolaemia or coronary heart disease:-- cholesterol > 6.5mmol/L or cholesterol > 5.5 if HDL <1.0mmol/L(c) people with HDL <1.0mmol/L:--cholesterol >6.5mmol/L(d) men aged 35 to 75 years or postmenopausal women up to 75 years:-- cholesterol >7.5 or triglycerides > 4.0mmol/L(e) people with none of the above:--cholesterol >9.0 or triglycerides >8.0mmol/L(4)Statins is clinically contraindicated:(a) Allergy(b) ALT > 2 times the upper limit of normal(c) Previous severe adverse reactions to statin.
Query!
Study design
Purpose of the study
Prevention
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The allocation list is stored at a remote site. The medications are dispensed in identical numbered containers. Study personnel do not have access to the medication code and are not involved in the process of packing of the medications.
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation schedule was prepared by a biostatistician using a permuted blocks allocation scheme.
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Single group
Query!
Other design features
Query!
Phase
Phase 3
Query!
Type of endpoint/s
Efficacy
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Date of first participant enrolment
Anticipated
5/01/2003
Query!
Actual
6/04/2003
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
9/03/2007
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
300
Query!
Accrual to date
Query!
Final
114
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Funding & Sponsors
Funding source category [1]
543
0
Charities/Societies/Foundations
Query!
Name [1]
543
0
Ian Potter Foundation
Query!
Address [1]
543
0
Level 3, 111 Collins Street, Melbourne VIC 3000
Query!
Country [1]
543
0
Australia
Query!
Funding source category [2]
544
0
Other
Query!
Name [2]
544
0
Centre for Eye Research Australia
Query!
Address [2]
544
0
CERA, 32Gisborne Street, East Melbourne, 3002
Query!
Country [2]
544
0
Australia
Query!
Funding source category [3]
545
0
Hospital
Query!
Name [3]
545
0
Royal Victorian Eye and Ear Hospital
Query!
Address [3]
545
0
RVEEH, 32 Gisborne Street, East Melbourne, VIC, 3002
Query!
Country [3]
545
0
Australia
Query!
Primary sponsor type
University
Query!
Name
Centre for Eye Research Australia
Query!
Address
CERA, 32 Gisborne Street, East Melbourne, VIC, 3002
Query!
Country
Australia
Query!
Secondary sponsor category [1]
439
0
Hospital
Query!
Name [1]
439
0
Royal Victorian Eye and Ear Hospital
Query!
Address [1]
439
0
RVEEH, 32 Gisborne Street, East Melbourne, VIC, 3002
Query!
Country [1]
439
0
Australia
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
1548
0
Royal Victorian Eye and Ear Hospital Research and Ethics Committee
Query!
Ethics committee address [1]
1548
0
Query!
Ethics committee country [1]
1548
0
Australia
Query!
Date submitted for ethics approval [1]
1548
0
Query!
Approval date [1]
1548
0
23/11/2001
Query!
Ethics approval number [1]
1548
0
Query!
Summary
Brief summary
BACKGROUND: HMG Co-A reductase inhibitors are ubiquitous in our community yet their potential role in age-related macular degeneration (AMD) remains to be determined. METHODOLOGY/PRINCIPAL FINDINGS: OBJECTIVES: To evaluate the effect of simvastatin on AMD progression and the effect modification by polymorphism in apolipoprotein E (ApoE) and complement factor H (CFH) genes. DESIGN: A proof of concept double-masked randomized controlled study. PARTICIPANTS: 114 participants aged 53 to 91 years, with either bilateral intermediate AMD or unilateral non-advanced AMD (with advanced AMD in fellow eye), BCVA = 20/60 in at least one eye, and a normal lipid profile. INTERVENTION: Simvastatin 40 mg/day or placebo, allocated 1:1. MAIN OUTCOME MEASURES: Progression of AMD either to advanced AMD or in severity of non-advanced AMD. Results. The cumulative AMD progression rates were 70% in the placebo and 54% in the simvastatin group. Intent to treat multivariable logistic regression analysis, adjusted for age, sex, smoking and baseline AMD severity, showed a significant 2-fold decrease in the risk of progression in the simvastatin group: OR 0.43 (0.18-0.99), p = 0.047. Post-hoc analysis stratified by baseline AMD severity showed no benefit from treatment in those who had advanced AMD in the fellow eye before enrolment: OR 0.97 (0.27-3.52), p = 0.96, after adjusting for age, sex and smoking. However, there was a significant reduction in the risk of progression in the bilateral intermediate AMD group compared to placebo [adjusted OR 0.23 (0.07-0.75), p = 0.015]. The most prominent effect was observed amongst those who had the CC (Y402H) at risk genotype of the CFH gene [OR 0.08 (0.02-0.45), p = 0.004]. No evidence of harm from simvastatin intervention was detected. CONCLUSION/SIGNIFICANCE: Simvastatin may slow progression of non-advanced AMD, especially for those with the at risk CFH genotype CC (Y402H). Further exploration of the potential use of statins for AMD, with emphasis on genetic subgroups, is warranted.
Query!
Trial website
Query!
Trial related presentations / publications
1. . Proof of concept, randomized, placebo-controlled study of the effect of simvastatin on the course of age-related macular degeneration. Guymer RH, Baird PN, Varsamidis M, Busija L, Dimitrov PN, Aung KZ, Makeyeva GA, Richardson AJ, Lim L, Robman LD. PLoS One. 2013 Dec 31;8(12):e83759. doi: 10.1371/journal.pone.0083759. eCollection 2013. 2. Effect of simvastatin on retinal vascular caliber: the Age-Related Maculopathy Statin Study. Sasaki M, Gan WL, Kawasaki R, Hodgson L, Lee KY, Wong TY, Lamoureux E, Robman L, Guymer R. Acta Ophthalmol. 2013 Aug;91(5):e418-9. doi: 10.1111/aos.12114. No abstract available.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
36024
0
Prof Robyn Guymer
Query!
Address
36024
0
Centre for Eye Research Australia University of Melbourne 32 Gisborne Street East Melbourne VIC 3002
Query!
Country
36024
0
Australia
Query!
Phone
36024
0
+61 3 9929 8360
Query!
Fax
36024
0
Query!
Email
36024
0
[email protected]
Query!
Contact person for public queries
Name
9513
0
Robyn Guymer
Query!
Address
9513
0
Centre for Eye Research Australia
University of Melbourne
32 Gisborne Street
East Melbourne VIC 3002
Query!
Country
9513
0
Australia
Query!
Phone
9513
0
+61 3 99298360
Query!
Fax
9513
0
+61 3 96623859
Query!
Email
9513
0
[email protected]
Query!
Contact person for scientific queries
Name
441
0
Robyn Guymer
Query!
Address
441
0
Centre for Eye Research Australia
University of Melbourne
32 Gisborne Street
East Melbourne VIC 3002
Query!
Country
441
0
Australia
Query!
Phone
441
0
+61 3 99298360
Query!
Fax
441
0
+61 3 96623859
Query!
Email
441
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF