CNV in AMD Analyzed by OCT Angiography Under IntravitreaL Eylea (COCTAEyl)
Study Details
Study Description
Brief Summary
The main objective of this study is to analyze a new noninvasive imaging examination, OCT angiography, in the evaluation of neovascular remodeling and early signs of recurrence of wet AMD undergoing treatment on OCTA and to correlate OCTA findings with SD-OCT findings.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- presence of flow on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 13]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
Secondary Outcome Measures
- presence of flow on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of collaterals on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of peripheral arcade on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of arteriolization on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of vascular loops on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of dark halo on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of feeder vessel on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- presence of flow void on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular area on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [baseline]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 1]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 2]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 3]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 4]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 5]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 6]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 7]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 8]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 9]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 10]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 11]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- measure of neovascular density on OCTA [at month 12]
high flow on OCTA corresponding to the neovascular network with vascular remodeling over time
- Intraretinal and/or subretinal fluid in SD-OCT [at month 13]
- Intraretinal and/or subretinal fluid in SD-OCT [at baseline]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 1]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 2]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 3]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 4]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 5]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 6]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 7]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 8]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 9]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 10]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 11]
- Intraretinal and/or subretinal fluid in SD-OCT [at month 12]
- visual acuity in logmar [at baseline]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 1]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 2]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 3]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 4]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 5]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 6]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 7]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 8]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 9]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 10]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 11]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 12]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- visual acuity in logmar [at month 13]
Measure of best-corrected visual acuity (BCVA) measured on ETDRS
- presence or abscence of hemorrhage, fibrosis and atrophy on fundus color photography [at 1 months]
- presence or abscence of hemorrhage on fundus color photography [at 1 months]
- presence or abscence of fibrosis on fundus color photography [at 1 months]
- presence or abscence of atrophy on fundus color photography [at 1 months]
- presence or abscence of hemorrhage on fundus color photography [at 13 months]
- presence or abscence of fibrosis on fundus color photography [at 13 months]
- presence or abscence of atrophy on fundus color photography [at 13 months]
- type of choroidal neovascularization on fluorescein angiography (type 1, type 2 or mixed lesions) [Baseline]
- type of choroidal neovascularization on fluorescein angiography (type 1, type 2 or mixed lesions) [at month 13]
- type of choroidal neovascularization on indocyanine green angiography (type 1, type 2 or mixed lesions) [baseline]
- type of choroidal neovascularization on indocyanine green angiography (type 1, type 2 or mixed lesions) [at month 13]
- choroidal thickness on EDI-OCT [monthly during 13 months]
- type of choroidal neovascularization on SD-OCT (type 1, type 2 or mixed lesions) [monthly during 13 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Naïve patients
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Type 1 or type 2 Choroidal NeoVascularization (CNV)
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Age ≥ 55 years
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Presence of subfoveal CNV secondary to Age-related Macular Degeneration (AMD)
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At the time of inclusion, multimodal imaging should reveal exudative features
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Exudative AMD diagnosis established between 1 and 7 days before inclusion
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Monitored monthly
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Loading phase then bimonthly retreatment.
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Signed Informed Consent.
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Patient covered by the French Health Insurance
Exclusion Criteria:
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Polypoidal choroidal vasculopathy
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Type 3 neovascularization
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Choroidal neovascularization attributable to causes other than AMD
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Macular hematoma
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Pigment epithelial detachment higher than 150µm
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Fibrosis > 50% lesion on fundus color photography, fibroglial scar
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Media opacity annoying acquisition
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Retinal vascular occlusion
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Diabetic retinopathy
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Adult-onset foveomacular vitelliform dystrophy and other pattern dystrophies,
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Refractive error >-6D
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Active intraocular inflammation in the study eye
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Patient who does not meet the local indication criteria for Eylea® treatment. Contraindications listed in the SmPCs must be taken into account
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Patient taking part in an interventional study at the time of enrolment.
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Any history of allergy to the antiseptic used during preparation of the eye for the IVT injection in the investigational site (e.g. povidone iodine or chlorhexidine).
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Pregnant and lactating women
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Stroke and/or myocardial infarction 3 months before inclusion
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hôpital Pellegrin, CHU de Bordeaux | Bordeaux | France | 33000 | |
2 | CHI de Créteil | Créteil | France | 94000 | |
3 | Hôpital La Croix Rousse | Lyon | France | 69004 | |
4 | Hôpital Lariboisière, APHP | Paris | France | 75010 | |
5 | Centre Ophtalmologique d'Imagerie et de Laser, | Paris | France | 75015 |
Sponsors and Collaborators
- Centre Hospitalier Intercommunal Creteil
- Bayer
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- COCTAEyl