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Trial registered on ANZCTR
Registration number
ACTRN12616000012471
Ethics application status
Approved
Date submitted
11/12/2015
Date registered
12/01/2016
Date last updated
12/01/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Safety and efficacy of ziv Aflibercept compounding in refractory diabetic macular oedema
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Scientific title
Safety and efficacy of ziv Aflibercept compounding in refractory diabetic macular oedema
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Secondary ID [1]
288136
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ziv A 1
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Universal Trial Number (UTN)
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Trial acronym
zADMO
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diabetic macular oedema
297014
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Condition category
Condition code
Eye
297263
297263
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0
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Diseases / disorders of the eye
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Metabolic and Endocrine
297285
297285
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intravitreal injection of ziv Aflibercept 2mg monthly
For three months then as required monthly depending on clinical indications of retinal fluid at the clinical discretion of ophthalmologist
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Intervention code [1]
293446
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Treatment: Drugs
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
296852
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Collection of adverse events
Questioned and examined by ophthalmologist
(discomfort, redness, inflammation assessed by self report, OCT retinal scan and retina thickness documented, Log MAR vision chart assessed and negative change will be be documented at each clinical visit)
Clinical examination on slit lamp by Ophthalmologist (inflammation and ocular changes noted)
(Systemic adverse symptoms reported ie Stroke and cardiac events will be recorded at each clinical visit)
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Assessment method [1]
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Timepoint [1]
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three months
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Secondary outcome [1]
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Clinical outcomes of vision from Log MAR vision tested.
Improvements will be assessed collated for comparison to published data.
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Assessment method [1]
319528
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Timepoint [1]
319528
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3 months
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Secondary outcome [2]
319529
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Retinal thickness reduction from OCT retinal scan noted and collated for comparison to published data.
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Assessment method [2]
319529
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Timepoint [2]
319529
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3 months
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Eligibility
Key inclusion criteria
Inclusion Criteria:
Ability to provide informed consent and complete study assessments
Age 18 years or older
Diabetic macular oedema not responding to compounded Avastin (Bevacizumab or ranibizumab)
Best corrected baseline visual acuity between 6/6 to 6/60 on ETDRS chart
Presence of sub retinal fluid or cystic intraretinal oedema on spectral domain OCT (SD-OCT) [Spectralis]
Documentation of the presence of sub retinal fluid or cystoid oedema less than 42 days since last treatment with an antiVegf agent.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnancy
Recent CVA or MI
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
18/01/2016
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Actual
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Date of last participant enrolment
Anticipated
1/05/2016
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
7411
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New Zealand
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State/province [1]
7411
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Auckland
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Funding & Sponsors
Funding source category [1]
292544
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Self funded/Unfunded
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Name [1]
292544
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Address [1]
292544
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Country [1]
292544
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Primary sponsor type
Individual
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Name
Dr Andrew Riley
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Address
Eye Department
Greenlane clinical centre
214 Green Lane West
Epsom
Auckland 1051
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
291261
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Address [1]
291261
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Country [1]
291261
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294020
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Health and Disability Ethics Committees
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Ethics committee address [1]
294020
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Ministry of Health Freyberg Building 20 Aitken Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
294020
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New Zealand
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Date submitted for ethics approval [1]
294020
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01/12/2015
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Approval date [1]
294020
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11/12/2015
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Ethics approval number [1]
294020
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15/NTA/195
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Summary
Brief summary
This study is designed to specifically target on patients with diabetic macular oedema who are poorly responsive to current anti-VEGF therapy (bevacizumab or ranibiznumab), and evaluate whether changing the therapeutic agent to intravitreal ziv aflibercept injection would lead to improved functional and anatomical outcomes. The 48 week treatment duration is appropriate for a pilot study. The hypothesis of this study is that compounded intravitreal ziv Aflibercept injection may be effective in causing resolution of persistent sub or intraretinal fluid despite previous treatment with bevacizumab or ranibizumab by counteracting the effect of both VEGF-A and placental growth factor, with increased binding affinity. At the very least, being as effective as previous treatment but with fewer treatments.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Andrew Riley
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Address
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Eye Department
Greenlane clinical centre
214 Green Lane West
Epsom
Auckland 1051
New Zealand
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Country
62158
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New Zealand
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Phone
62158
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+64 93670000
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Fax
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+64 9 5209688
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Email
62158
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[email protected]
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Contact person for public queries
Name
62159
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Andrew Riley
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Address
62159
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Eye Department
Greenlane clinical centre
214 Green Lane West
Epsom
Auckland 1051
New Zealand
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Country
62159
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New Zealand
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Phone
62159
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+64 93670000
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Fax
62159
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+64 95209688
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Email
62159
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[email protected]
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Contact person for scientific queries
Name
62160
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Andrew Riley
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Address
62160
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Eye Department
Greenlane clinical centre
214 Green Lane West
Epsom
Auckland 1051
New Zealand
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Country
62160
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New Zealand
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Phone
62160
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+64 93670000
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Fax
62160
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+64 95209688
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Email
62160
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[email protected]
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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.
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