Actively Recruiting

Age: 18Years +
All Genders
ID06500728

Visual Involvement in Giant Cell Arteritis: An Observational Study Using Advanced Imaging to Compare Arteritic and Non-Arteritic Eye Conditions

Led by ASST Fatebenefratelli Sacco · Updated on 2024-07-15

762

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating how Giant Cell Arteritis (GCA), a condition causing inflammation in medium and large arteries, affects vision. This study focuses on comparing eye problems caused by arteritic and non-arteritic forms of visual impairment, such as Arteritic Anterior Ischemic Optic Neuropathy (A-AION) versus Non-Arteritic Anterior Ischemic Optic Neuropathy (NA-AION), and Central Retinal Artery Occlusion (CRAO) due to GCA versus other causes. The goal is to improve diagnosis and prediction of patient outcomes using advanced eye imaging and clinical evaluations. Participants undergo various eye tests including fluorescein and indocyanine green angiography, high-resolution Optical Coherence Tomography (OCT), and Angio-OCT at multiple time points: baseline, 48-72 hours, 7 days, 4 weeks, 12 weeks, and 26 weeks. Blood samples are taken at baseline and during follow-up visits to help understand disease progression. Patients receive standard care based on international guidelines for GCA, and assessments include detailed eye exams and internal and immuno-rheumatological evaluations. During the study, participants will have regular evaluations of visual acuity, fundus examination, and visual field testing. Eye imaging and clinical data are collected and analyzed to identify patterns and changes in visual impairment linked to GCA. The study will track how vision changes over six months and assess the relationship between clinical findings and eye imaging results to better understand the disease's impact on vision over time.

CONDITIONS

Brief Title

Visual Involvement in Giant Cell Arteritis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients older than 18 years with clinically suspected or confirmed giant cell arteritis.
  • Newly found visual involvement suspected or confirmed to be related to vasculitis.
  • Ability to provide valid consent to participate in the study.
  • Patients older than 18 years with newly diagnosed acute visual impairment showing GCA-like eye features but without vasculitis.
  • Ability to provide valid consent to participate in the study.
Not Eligible

You will not qualify if you...

  • Pre-existing eye diseases that affect best visual acuity or eye examination results.
  • Active infections affecting the eyes or surrounding areas, including viral, bacterial, fungal, parasitic infections, or treated tuberculosis and HIV, hepatitis B or C.
  • Systemic inflammatory diseases not caused by GCA (unless in remission without treatment).
  • Any other condition deemed by investigators to prevent safe participation in the study.

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)

Diagnostic Evaluation

Duration - Baseline and repeated assessments over 6 months

Participants undergo ophthalmological assessments including visual acuity, fundus, visual field, and may have fluorescein and indocyanine green angiography, high-resolution Optical Coherence Tomography (OCT), and angio-OCT to evaluate visual impairment related to giant cell arteritis or similar eye conditions.

6 visits: baseline, 48-72 hours, 7 ± 2 days, 4 ± 1 weeks, 12 ± 2 weeks, and 26 ± 2 weeks

Long-term Monitoring

Duration - 6 months

Participants are monitored over 6 months with repeated ophthalmological and clinical assessments to evaluate the evolution of visual impairment and response to therapy according to standard clinical practice.

Ongoing follow-up visits aligned with diagnostic evaluations

Trial Site Locations

Total: 1 location

1

ASST Fatebenefratelli-Sacco

Milan, Lombardy, Italy, 20157

Actively Recruiting

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Research Team

E

Enrico Tombetti, Prof.

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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