UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042801
Receipt number R000048790
Scientific Title Epidemiological Study to Evaluate the Prevalence and Progression of Diabetic Macular Ischemia in Patients with Diabetic Retinopathy Treated with Panretinal Photocoagulation
Date of disclosure of the study information 2021/01/12
Last modified on 2023/12/26 22:44:42

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Basic information

Public title

Epidemiological Study to Evaluate the Prevalence and Progression of Diabetic Macular Ischemia in Patients with Diabetic Retinopathy Treated with Panretinal Photocoagulation

Acronym

EYE DMI

Scientific Title

Epidemiological Study to Evaluate the Prevalence and Progression of Diabetic Macular Ischemia in Patients with Diabetic Retinopathy Treated with Panretinal Photocoagulation

Scientific Title:Acronym

EYE DMI

Region

Japan Asia(except Japan) North America
Europe


Condition

Condition

Diabetic Macular Ischemia

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The main objectives are to estimate the prevalence of diabetic macular ischemia (DMI) in patients with diabetic retinopathy (DR) treated with panretinal photocoagulation (PRP) and to evaluate the functional and morphological changes in the eye during a 12-month period. This study has two parts: Part A involves a cross-sectional analysis and Part B involves a follow-up analysis, with the following objectives:
1. Among patients with DR, to describe baseline characteristics of patients and quantify the prevalence of DMI at baseline
2. Among patients with DMI, to characterize change in visual acuity under normal and low-luminance conditions during 12 months of follow-up

Basic objectives2

Others

Basic objectives -Others

1. Among patients with DMI, to identify risk factors for change in visual acuity during 12 months of follow-up
2. Among patients with DMI, to characterize changes in morphological parameters, as generated by optical coherence tomography angiography (OCTA) and spectral domain optical coherence tomography (SD-OCT) during 12 months of follow-up
3. Among patients with DMI and diabetic macular edema (DME) who have undergone anti-vascular endothelial growth factor (anti-VEGF) therapy during 12 months of follow-up, to reevaluate the baseline assessment of DMI after the resolution of DME
Among patients with DMI, key subgroups are patients categorized according to DMI severity and DME, with and without central involvement (CI).

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Best Clinic Visual Acuity
Best Clinic Visual Acuity is measured with glasses and with pinhole occluder (if glasses are regularly worn) or unaided and with pinhole occluder (if glasses are not regularly worn)
Change in Visual Acuity under normal light condition will be measured by the number of letters read from an ETDRS chart

Low-Luminance Best Clinic Visual Acuity
Low-Luminance Visual Acuity is the Best Clinic Vision with a mesopic filter added to the ETDRS Cabinet.
Change in Visual Acuity under low-luminance condition will be measured by the number of letters read from an ETDRS chart, applying a mesopic filter.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

Inclusion criteria for Part A cross-sectional:
Adults =/>18 years (=/>20 years old in Japan)
Treated with PRP for DR in previous five years (but not in the six months before patient enrollment)*
Inclusion criteria for Part B follow-up:
Fifty-four letters or better based on Best Clinic Visual Acuity (using Early Treatment Diabetic Retinopathy Study [ETDRS] chart)*
DMI, defined as a foveal avascular zone (FAZ) with =/>0.5mm2 area in superficial capillary plexus, on OCTA (Optovue AngioVue). If FAZ is <0.5mm2, then enlarged peri-foveal inter-capillary space in at least one quadrant will be sufficient*

Key exclusion criteria

Exclusion criteria (Part A and B):
Patients currently participating in an interventional trial with an ophthalmologic experimental therapy
Exclusion criteria (Part B only):
Severe DRIL, i.e., affecting 50% or more of the central one-mm-wide zone centered on the fovea (foveal DRIL), as defined by Sun et al. [R19-4048]*
Any concurrent macular abnormality other than DMI and DME that, in the opinion of the investigator, would interfere with the assessment of DMI and DME (e.g., significant macular epiretinal membrane, neovascular age-related macular degeneration, and macular hemorrhage)*

Target sample size

900


Research contact person

Name of lead principal investigator

1st name Yuichiro
Middle name
Last name Ogura

Organization

Nagoya City University Hospital

Division name

Ophthalmology Department

Zip code

467-8602

Address

1, Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, Aichi

TEL

052-851-5511

Email

yasuzumi.shimizu@iqvia.com


Public contact

Name of contact person

1st name Yasuzumi
Middle name
Last name Shimizu

Organization

IQVIA Services Japan, K.K.

Division name

Real-World Evidence Services, Real-World Analytics Solutions

Zip code

108-0074

Address

3-4-30, Miyahara Yodogawa-ku Osaka, Japan, 532-0003

TEL

080-4409-9223

Homepage URL


Email

yasuzumi.shimizu@iqvia.com


Sponsor or person

Institute

Boehringer Ingelheim International GmbH

Institute

Department

Personal name



Funding Source

Organization

Boehringer Ingelheim International GmbH

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya City University Hospital

Address

1, Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, Aichi

Tel

052-851-5511

Email

NA


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



Other administrative information

Date of disclosure of the study information

2021 Year 01 Month 12 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

539

Results


Results date posted


Results Delayed

Delay expected

Results Delay Reason

under preparation

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

No longer recruiting

Date of protocol fixation

2020 Year 03 Month 09 Day

Date of IRB

2020 Year 11 Month 04 Day

Anticipated trial start date

2021 Year 01 Month 12 Day

Last follow-up date

2023 Year 10 Month 31 Day

Date of closure to data entry

2023 Year 12 Month 31 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information

Nagata Eye Clinic (Nara)
Ikuno Eye Center (Osaka)


Management information

Registered date

2020 Year 12 Month 21 Day

Last modified on

2023 Year 12 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048790


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name