Status:

ACTIVE_NOT_RECRUITING

Evaluating Metabolic Changes Induced by PhotoBioModulation Through Spectrally Resolved Autofluorescence in Dry Age-Related Macular Degeneration Patients

Lead Sponsor:

Francesco Bandello

Conditions:

Macular Degeneration, Age Related

Eligibility:

All Genders

50+ years

Brief Summary

The best treatment to prevent the evolution of early and intermediate forms of dAMD to atrophic degeneration is PhotoBioModulation (PBM). It is based on the principle that molecules can absorb light e...

Detailed Description

This study is an observational, prospective, longitudinal, and monocentric study on Medical Device (CE marked, according to indications for use) on evaluating metabolic changes through Spectrally Reso...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA
  • Male or female at least 50 years;
  • Subjects with ETDRS BCVA letter scores of between 50 and 80 (Snellen equivalent of 20/100 to 20/25);
  • Subjects with a diagnosis of dry AMD as defined by the presence of drusen (regular or reticular pseudodrusen) and/or geographic atrophy (GA) visible on two of the following: color fundus images, OCT and/or Heidelberg FAF;
  • Able to communicate well with the Investigator and able to understand and comply with the requirements of the study; The subject is informed of the nature of this study and has provided written informed consent in accordance with institutional, local, and national regulatory guidelines.
  • EXCLUSION CRITERIA
  • Pregnant or lactating women
  • Current or history of neovascular maculopathy that includes any of the following:
  • Macular neovascularization (MNV) is defined as pathologic angiogenesis originating from the choroidal vasculature that extends through a defect in Bruch's membrane
  • Serous and/or hemorrhagic detachment of the neurosensory retina or retinal pigment epithelial (RPE)
  • Retinal hard exudates
  • Subretinal and sub-RPE fibrovascular proliferation
  • Disciform scar
  • Presence of center involving GA within the central ETDRS 500 μm diameter at diagnosis
  • Media opacities, including cataracts, which might interfere with visual acuity or imaging in the study eye(s). Subjects should not be entered if there is likelihood that they will require cataract surgery in the study eye in the next 24 months
  • Posterior capsule opacification, which might interfere with visual acuity or imaging in the study eye(s). Subjects should not be entered if there is likelihood that they will require surgery in the study eye in the next 24 months
  • Invasive eye surgery (e.g. cataract, capsulotomy) on a qualifying eye within three 3 months before treatment
  • Ocular disorder or disease that partially or completely obstructs the pupil (e.g., posterior synechia in uveitis)
  • A visually significant disease in any ocular structure apart from dry AMD (e.g., diabetic macular edema, glaucoma (using \>2 eye drops medications, uncontrolled IOP and/or central/paracentral visual field loss), glaucoma surgery, active uveitis, active vitreous disease, intraocular tumor, retinal vascular diseases)
  • Has a serious medical illness that will prevent the subject from performing study activities (including cardiac, hepatic, renal, respiratory, endocrinologic, neurologic, or hematologic disease) or, in the judgment of the Investigator, is likely to require surgical intervention or hospitalization at any point during the study
  • Presence of or history of malignancy within the past 5 years other than non-melanoma skin or squamous cell cancer or cervical carcinoma in situ
  • Is non-ambulatory
  • Presence or history of known light sensitivity to yellow light, red light, or near-infrared radiation (NIR), or if there is a history of light-activated CNS disorders (e.g., epilepsy, migraine)
  • Use of any photosensitizing agent (e.g., topical, injectable) within 30 days of treatment without consulting the subject's physician
  • History of drug, alcohol, or substance abuse within 3 months before treatment
  • Has received an investigational drug or treatment with an investigational device within 3 months before treatment
  • If on any antioxidant or vitamin Age-Related Eye Disease Study (AREDS) supplement for dry AMD, has not been stabilized for a minimum of 1 month before Screening. Subjects are considered to be stable if they are taking the AREDS supplements consistently as prescribed by their treating doctor.
  • Has received Low Vision Rehab/Therapy within 30 days before Screening or intends to receive during the study
  • In the opinion of the Investigator, is unlikely to comply with the study protocol

Exclusion

    Key Trial Info

    Start Date :

    July 11 2022

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 31 2025

    Estimated Enrollment :

    30 Patients enrolled

    Trial Details

    Trial ID

    NCT06582511

    Start Date

    July 11 2022

    End Date

    December 31 2025

    Last Update

    September 3 2024

    Active Locations (1)

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    Irccs Ospedale San Raffaele

    Milan, Italy/mi, Italy, 20132