Actively Recruiting

Phase 2
Age: 50Years - 85Years
All Genders
ID04735263

Dark Adaptation as an Early Indicator of Response to Statin Therapy for Intermediate Age-Related Macular Degeneration

Led by Massachusetts Eye and Ear Infirmary · Updated on 2026-01-26

21

Participants Needed

1

Research Sites

39 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the use of high-dose atorvastatin (80 mg) in patients with intermediate age-related macular degeneration (AMD) to see if it can improve dark adaptation recovery time and reduce drusen volume in the eye. This phase 2 interventional trial aims to correlate how well patients recover their vision in low light with changes in drusen, which are deposits that can block nutrient flow and worsen AMD. The study seeks to provide early indications of treatment response to help guide care decisions, especially when considering side effects or alternative treatments. Participants will receive 80 mg of atorvastatin daily if they tolerate it throughout the study. Eligible patients have either bilateral high-risk intermediate AMD or high-risk intermediate AMD in one eye with geographic atrophy (GA) or choroidal neovascularization (CNV) in the other eye. There is no control group in this trial. The treatment and observations will continue over an 18-month period. During the study, participants will have their dark adaptation recovery time measured by rod intercept time and drusen volume assessed using spectral domain optical coherence tomography (SD-OCT). Additional evaluations will include best corrected visual acuity, contrast sensitivity, and microperimetry to assess visual function and retinal structure. These assessments will occur throughout the 18 months to monitor changes and safety under medical supervision.

CONDITIONS

Brief Title

Dark Adaptation as an Early Indicator of Response to Statin Therapy for Intermediate AMD

Who Can Participate

Age: 50Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults with intermediate AMD diagnosis in one or both eyes
  • High-risk intermediate AMD in the study eye defined by numerous large, confluent drusen covering at least 0.5 disk area, with or without pigmentary changes, but no geographic atrophy or choroidal neovascularization
  • Participants may have either bilateral high-risk intermediate AMD or high-risk intermediate AMD in one eye with geographic atrophy and/or choroidal neovascularization in the other eye
Not Eligible

You will not qualify if you...

  • Previous use of high-dose atorvastatin (80 mg)
  • Previous use of other statins when primary care provider deems high-dose atorvastatin unsafe or contraindicated
  • Known adverse reaction to statins
  • Severe kidney disease or multiple other health conditions
  • Age over 85 years
  • Pregnancy
  • Use of cyclosporine
  • Active uveitis or ocular infection
  • Any retinopathy other than AMD
  • Media opacities affecting vision
  • Refractive error equal to or greater than 6 diopters
  • Prior retina surgery
  • Other ocular surgery or intraocular procedures in the study eye within 90 days before enrollment, except anti-angiogenic injections

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 18 months

Participants receive 80mg of Atorvastatin daily, if they are able to tolerate it, from the start to the end of the study.

Regular visits to monitor response and safety throughout treatment

Trial Site Locations

Total: 1 location

1

Massachusetts Eye and Ear Infirmary

Boston, Massachusetts, United States, 02114

Actively Recruiting

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Research Team

J

John B Miller, MD

D

Deeba Husain

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Regression of Some High-risk Features of Age-related Macular Degeneration (AMD) in Patients Receiving Intensive Statin Treatment.

Demetrios G Vavvas, Anthony B Daniels, Zoi G Kapsala...

https://pubmed.ncbi.nlm.nih.gov/27077128