A Dosing Study of Intravitreal Bevacizumab for Retinopathy of Prematurity
Study Details
Study Description
Brief Summary
The aim of our study was to determine whether a low dose of 0.3125mg intravitreal bevacizumab is effective in treatment of type 1 ROP as the standard 0.625 mg dose., regarding :
Serum Systemic VEGF levels. Retinal Vascularization.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Group A recieved 0.3125mg intravitreal bevacizumab in both eyes 9 infants in group A with type 1 ROP , received 0.3125mg IVI of bevacizumab in both eyes, serum systemic levels of VEGF was measured at day 0 (before injection) , and 1 week and 4 weeks post injection . |
Drug: Intravitreal Bevacizumab
Serum systemic level of VEGF was measured before and after 1 week and 4 weeks of intravitreal injection of bevacizumab
Other Names:
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Active Comparator: Group B received 0.625mg intravitreal bevacizumab in both eyes 10 infants in group B with type 1 ROP , received 0.625mg IVI of bevacizumab in both eyes, serum systemic levels of VEGF was measured at day 0 (before injection) , and 1 week and 4 weeks post injection . |
Drug: Intravitreal Bevacizumab
Serum systemic level of VEGF was measured before and after 1 week and 4 weeks of intravitreal injection of bevacizumab
Other Names:
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Outcome Measures
Primary Outcome Measures
- Change in the serum systemic VEGF pre- and post- intravitreal injection of bevacizumab in both groups. [at day 0 (baseline ) , 1 week and 4 weeks post-injection]
serum systemic VEGF measured using human VEGF ELISA kit
- The number of infants without need for rescue therapy until 60 weeks of postmenstrual age after initial treatment. ["up to 60 weeks postmenstrual age"]
Rescue therapy is defined as the need of a second dose of 0.625 mg bevacizumab reinjection or laser at any time during follow up period.
Secondary Outcome Measures
- Occurrence of any adverse events from intravitreal-injection [Within 4 weeks from intravitreal injection]
endophthalmitis , retinal detachment , cataract , vitreous hemorrhage
Eligibility Criteria
Criteria
Inclusion Criteria:
Infants with Type 1 ROP according to ETROP study which is defined as:
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Zone I ROP with plus disease
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Zone I, stage 3 ROP without plus disease
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Zone II, stage 2 or 3 ROP with plus disease
Exclusion Criteria:
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Eyes with previous intravitreal injection
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Eyes with previous laser therapy
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Eyes with any other intraocular pathology other than ROP (congenital cataract, congenital glaucoma, any retinal pathology other than ROP)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Faculty of Medicine Cairo University | Cairo | Egypt | 11865 |
Sponsors and Collaborators
- Cairo University
Investigators
- Principal Investigator: Nooran Abdelkader, MD, Cairo University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- MD-108-2019