UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004804
Receipt number R000005712
Scientific Title Randomized, three-group, parallel comparative study on changes in macular pigment optical density and visual function due to administration of supplements containing lutein and omega3 fatty acids to patients with age-related macular degeneration (patients treated with ranibizumab)
Date of disclosure of the study information 2010/12/28
Last modified on 2021/04/13 12:44:52

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Randomized, three-group, parallel comparative study on changes in macular pigment optical density and visual function due to administration of supplements containing lutein and omega3 fatty acids to patients with age-related macular degeneration (patients treated with ranibizumab)

Acronym

The comparative study on the effects of lutein and omega3 fatty acids supplements to age-related macular degeneration

Scientific Title

Randomized, three-group, parallel comparative study on changes in macular pigment optical density and visual function due to administration of supplements containing lutein and omega3 fatty acids to patients with age-related macular degeneration (patients treated with ranibizumab)

Scientific Title:Acronym

The comparative study on the effects of lutein and omega3 fatty acids supplements to age-related macular degeneration

Region

Japan


Condition

Condition

age-related macular degeneration

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To investigate macular pigment density and visual function in patients with age-related macular degeneration (treated with ranibizumab), who are taking a supplement containing lutein, lutein plus omega3 fatty acids, or multivitamins and minerals, for 1 year. Frequency of retreatment with intravitreal ranibizumab will also be investigated.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Macular pigment optical density

Key secondary outcomes

(1)Frequency of retreatment with intravitreal ranibizumab
(2)Ophthalmological evaluations
Essential: Visual acuity (using an ETDRS visual acuity chart), slit-lamp microscopy and funduscopy under mydriasis, color fundus photography, fluorescein and indocyanine green angiography, central retinal thickness as measured by optical coherence tomography (OCT-3000)
Optional: Measurement of contrast sensitivity, measurement of glare sensitivity, Humphrey field analyzer (10-2), M-chart
(3)Plasma lutein,DHA concentration


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

multivitamins and minerals (M&M)

Interventions/Control_2

multivitamins and minerals plus a lutein supplement (M&M + lutein)

Interventions/Control_3

multivitamins and minerals plus supplements containing lutein + omega3 fatty acids (M&M + lutein + omega3)

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

50 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1)Exudative age-related macular degeneration with subfoveal choroidal neovascularization. However, eyes with retinal angiomatous proliferation (RAP) will be excluded
(2)Eyes with improvement in exudative changes after receiving 3 injections of intravitreal ranibizumab (Lucentis)
Improvement is defined as a decrease in central retinal thickness by at least 100um (as measured by OCT-3000).
(3)Start of the study within 1-2 months of the last injection of intravitreal ranibizumab
(4)Visual Acuity is more than 50 ETDRS letters (0.2)
(5)Aged 50 years or older at provision of informed consent, and has given consent in writing
(6)Male or female
(7)Judged by the investigator to be eligible as a subject on the basis of screening tests
(8)Not allergic to lutein or omega3 fatty acids

Key exclusion criteria

(1) Presence of cataracts of a severity sufficient to materially affect the above evaluations of visual function
(2)Undergone cataract surgery within the previous 3 months
(3)Pupile size of less than 6.5 mm
(4)Presence of glaucoma, diabetic retinopathy, or other serious disease of the fundus
(5)Myopia of -6D or higher
(6)Presence of hepatopathy, nephropathy, or cardiac disease of a severity sufficient to affect the evaluations of the supplements to be taken by patients
(7)Receiving photosensitive drugs such as phenothiazine, chloroquine, and tetracycline on an ongoing basis
(8)Regular use of lutein or DHA in the past 3 months
(9)Judged by the investigator to be ineligible for other reasons

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Akira
Middle name
Last name Obana

Organization

Seirei Hamamatsu General Hospital

Division name

Department of Ophthalmology

Zip code

430-8558

Address

Naka-ku

TEL

0534742222

Email

obana@sis.seirei.or.jp


Public contact

Name of contact person

1st name Masahiro
Middle name
Last name Asano

Organization

Seirei Hamamatsu General Hospital (Shizuoka Prefecture)

Division name

Department of Ophthalmology

Zip code

430-8558

Address

Naka-ku

TEL

053-474-2222

Homepage URL


Email

ryoasa0120@googlemail.com


Sponsor or person

Institute

Seirei Hamamatsu Genaral Hospital (Shizuoka Prefecture)

Institute

Department

Personal name



Funding Source

Organization

Otsuka Pharmaceutical Co.,Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Japan Ocular Carotenoids Study Group(JOCS)

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Seirei Hamamatsu General Hospital

Address

2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City

Tel

0534742222

Email

obana@sis.seirei.or.jp


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

北海道大学大学院医学研究科医学専攻研究眼科学講座(北海道)、日本大学医学部眼科(東京都)、聖隷浜松病院眼科(静岡県)、神戸大学医学部眼科(兵庫県)、島根大学医学部眼科(島根県)
Department of Ophthalmology and Visual Sciences, Hokkaido University Graduate School of Medicine, Department of Ophthalmology, Nihon University School of Medicine, Department of Ophthalmology, Seirei Hamamatsu General Hospital, Department of Ophthalmology, Kobe University School of Medicine, Department of Ophthalmology, Shimane University School of Medicine


Other administrative information

Date of disclosure of the study information

2010 Year 12 Month 28 Day


Related information

URL releasing protocol

WOC2014

Publication of results

Published


Result

URL related to results and publications

WOC2014

Number of participants that the trial has enrolled

28

Results

The mean macular pigment optical density levels increased at month 12 compared to the baseline in all groups, but a statistically significant increase was observed only in group MMLD (multivitamins and minerals plus 12 mg lutein, p=0.023, Wilcoxon signed rank test). The mean frequency of retreatment was 2.6 in group MM ( multivitamins and minerals), 3.3 in group MML, and 1.6 in MMLD (multivitamins and minerals, plus lutein and 144 mg docosahexaenoic acid, p=0.338, Kruskal-Wallis test).

Results date posted

2021 Year 04 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

A total of 28 Japanese patients with neovascular AMD were selected that showed improvement of exudative changes after three consecutive injections of intravitreal ranibizumab.

Participant flow

Nine patients were administered multivitamins and minerals (group MM), eight were administered multivitamins and minerals plus 12 mg lutein per day (group MML), and eleven were administered multivitamins and minerals, plus lutein and 144 mg docosahexaenoic acid (DHA) per day plus 23 mg eicosapentaenoic acid (EPA) per day (group MMLD).

Adverse events

None

Outcome measures

Macular pigment optical density, Number of Ranibizumab treatment for one year

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 05 Month 24 Day

Date of IRB

2010 Year 02 Month 17 Day

Anticipated trial start date

2011 Year 01 Month 01 Day

Last follow-up date

2012 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 12 Month 28 Day

Last modified on

2021 Year 04 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005712


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name