UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007628
Receipt number R000009006
Scientific Title A multi-center, randomized, parallel-group study to assess the changes in macular pigment density and visual performance in the patients with age-related macular degeneration, who received a lutein supplement
Date of disclosure of the study information 2012/04/20
Last modified on 2023/10/10 09:27:42

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Basic information

Public title

A multi-center, randomized, parallel-group study to assess the changes in macular pigment density and visual performance in the patients with age-related macular degeneration, who received a lutein supplement

Acronym

A multi-center study to assess the macular pigment density and visual performance in age-related macular degeneration

Scientific Title

A multi-center, randomized, parallel-group study to assess the changes in macular pigment density and visual performance in the patients with age-related macular degeneration, who received a lutein supplement

Scientific Title:Acronym

A multi-center study to assess the macular pigment density and visual performance in age-related macular degeneration

Region

Japan


Condition

Condition

Patients with hemilateral age-related macular degeneration (AMD)

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Assess changes in the macular pigment density, visual performance, and plasma lutein level in the eye which is normal or has early age-related maculopathy (ARM) during the 6-month continuous intake of a lutein supplement or placebo in the subjects who have age-related macular degeneration (late ARM) in one eye and have early ARM or no ARM in the fellow eye.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

macular pigment density

Key secondary outcomes

visual acuity, contrast sensitivity, glare sensitivity, plasma lutein level, OCT retinal thickness at the central fovea


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Food

Interventions/Control_1

The subjects are to take a soft capsule containing lutein 20 mg once a day for six months.

Interventions/Control_2

The subjects are to take a placebo soft capsule in the same shape once a day for six months.

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

50 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Asian
Patient who has hemilateral AMD and normal fellow eye or early ARM in the fellow eye. The normal or early ARM eye is to be assessed as the subject eye.
Follow the definition of the precursory lesion presented in the diagnostic criteria) of the Japanese Ophthalmological Society when making the diagnosis of early ARM. More specifically,
Diagnose the patient as having early ARM in the eye when having either of soft drusen (one or more drusen of not less than 63micrometer in diameter) or retinal pigment epithelial abnormalities (absence of the pigment, pigmentation, pigment unevenness, small (less than one papillary diameter) serous retinal pigment epithelial detachment).
Patient of 50 years or over of age at consent, who is able to give written consent
No visual acuity criteria. If the patient has corrected vision of 0.7 or under, the investigator needs to pay adequate attention for the presence or absence of the disease other than early ARM.
No gender criteria
Patient assessed eligible by the investigator based on the results of the screening tests
Patient who has no allergy to lutein or zeaxanthin

Key exclusion criteria

Eye with cataract to the degree having substantial effects on the measurement of the macular pigment density. Exclude nuclear cataract of Grade 2 or severer nuclear sclerosis.
The subject should be disqualified when having marked progression of cataract in the subject eye during the study period.
The subject should be disqualified when undergoing the cataract surgery during the study period.
Eye of which mydriatic pupil diameter is less than 6.5 mm
Eye with glaucoma, diabetic retinopathy, or other serious disease
Myopia of -6D or over
Patient having as severe hepatic/renal impairment or cardiac disease as affecting the evaluation of the investigational supplement
Patient continuously treated with any photo-sensitive drug (phenothiazine,
chloroquine, tetracycline, etc.)
Patient who constantly used lutein within 3 months
Other subject assessed ineligible by the investigator

Target sample size

220


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

1-12-12 Sumiyoshi, 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

Division name

General Clinical Research Center

Zip code

430-8558

Address

1-12-12 Sumiyoshi, Naka-ku

TEL

0534742222

Homepage URL


Email

obana@sis.seirei.or.jp


Sponsor or person

Institute

Seirei Hamamatsu General Hospital

Institute

Department

Personal name



Funding Source

Organization

Santen Pharmaceutical Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Dixon Laser Inst, Univ of Utah.
Med Photonics Res Center, Hamamatsu Univ.
Inflam Ophthalmol, Hokkaido Univ Grad School.
Ophthalmol, Moran Eye Center, Univ of Utah.

Name of secondary funder(s)

none


IRB Contact (For public release)

Organization

Seirei Hamamatsu General Hospital

Address

2-12-12 Sumiyoshi, Hamamatsu City, Shizuoka Prefecture 430-8558

Tel

053-474-2222

Email

asanoma@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, Hokkaido University Graduate School of Medicine(Hokkaido)
Department of Ophthalmology, Nihon University School of Medicine(Tokyo)
Department of Ophthalmology, Seirei Hamamatsu General Hospital(Shizuoka)
Division of Ophthalmology, Kobe University Graduate School of Medicine(Hyogo)
Department of Ophthalmology, Shimane University School of Medicine(Shimane)


Other administrative information

Date of disclosure of the study information

2012 Year 04 Month 20 Day


Related information

URL releasing protocol

none

Publication of results

Unpublished


Result

URL related to results and publications

none

Number of participants that the trial has enrolled

84

Results

There was no statistically significant difference in the mean MPOD at baseline between both groups.
The MPODs were almost equivalent after six months in both groups. There was no significant difference in the mean serum utein concentration at baseline between both groups. The mean serum concentration increased in six months, although it wasn't significant. In lutein group, 23 subjects showed increase of serum concentration of more than 20% that was significantly higher than placebo group.(p=0.035)

Results date posted

2019 Year 10 Month 07 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

d 27 normal eyes and 14 eyes with early ARM.There were no significant differences in age, gender and lens status between placebo and lutein groups.

Participant flow

Eighty-four eyes of 84 subjects were enrolled in this study. Two eyes in placebo group failed to measure MPOD at one time point during the study period (month 1 in one patient, month 9 in one patient), and these two eyes were excluded from the following analyses. Thus, forty-one eyes of 41 subjects in placebo group and forty-one eyes of 41 subjects in lutein group were analyzed.

Adverse events

No adverse events related to the study supplements were reported during the study period.

Outcome measures

Mean (SD) MPOD levels in Raman counts at baseline were 4266 (3377) in placebo group and 4283 (4011) in lutein group.
After the start of supplementation, the MPOD levels were almost equivalent up to the end of supplementation in either group.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 03 Month 31 Day

Date of IRB

2012 Year 02 Month 24 Day

Anticipated trial start date

2012 Year 05 Month 01 Day

Last follow-up date

2015 Year 04 Month 01 Day

Date of closure to data entry

2015 Year 10 Month 01 Day

Date trial data considered complete

2015 Year 12 Month 01 Day

Date analysis concluded

2016 Year 01 Month 01 Day


Other

Other related information

We were unable to reach the target number of cases during the setup period of the study. As a result, we did not proceed with the publication with the findings.


Management information

Registered date

2012 Year 03 Month 31 Day

Last modified on

2023 Year 10 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009006


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name