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A safety and efficacy assessment of chimeric ribozyme to proliferating cell nuclear antigen to prevent recurrence of proliferative vitreoretinopathy
ISRCTN ISRCTN25825250
ClinicalTrials.gov identifier
Public title A safety and efficacy assessment of chimeric ribozyme to proliferating cell nuclear antigen to prevent recurrence of proliferative vitreoretinopathy
Scientific title
Acronym IM-VIT100
Serial number at source IM-VIT 100-01 (IND # 63,756)
Study hypothesis To determine the safety and efficacy of VIT100 (VitrenAse), a proliferating cell nuclear antigen (PCNA) ribozyme (Immusol, Inc. San Diego, CA), in preventing recurrent proliferative vitreoretinopathy (PVR) in patients with established PVR who undergo vitrectomy for retinal reattachment repair.
Ethics approval Columbia University Institutional Review Board reviewed and approved research on the 31st July 2003 (reference number: AAA8110).
Study design Multicentre, double-masked, placebo controlled, randomised clinical trial.
Countries of recruitment United States of America
Disease/condition/study domain Proliferative Vitreoretinopathy
Participants - inclusion criteria Patients with retinal detachment with Grade C or worse PVR who undergo vitrectomy for retinal reattachment:
1. Retinal detachment
2. Proliferative vitreoretinopathy (PVR) grade C or worse under direct visualisation
3. Visual acuity greater than no light perception
4. Aged at least 18 years
5. Patient willing and able to sign informed consent
Participants - exclusion criteria 1. Vision of no light perception
2. Presence of any uncontrolled, sight threatening concomitant eye disease
3. Severe non proliferative diabetic retinopathy or proliferative diabetic retinopathy according to Early Treatment Diabetic Retinopathy Study (ETDRS) criteria
4. Other pre-existing vaso-proliferative retinopathy
5. History of intraocular inflammatory disease
6. Retinoschisis detachment
7. Heredity vitreoretinopathies
8. Best corrected visual acuity less than 20/200 prior to onset of retinal detachment due to permanent pre-existing condition
9. Vision less than 5/200 or visual field less than 20 degrees in the fellow eye
10. Pregnant or nursing women or women of childbearing potential not using a reliable form of contraception
11. Concurrent participation in any other research study within 30 days of entry into the study
Anticipated start date 01/07/2002
Anticipated end date 31/08/2004
Status of trial Completed
Patient information material
Target number of participants 170
Interventions All patients undergo retinal reattachment surgery with pars plana vitrectomy. Additional intraoperative procedures including scleral buckle placement or revision, pars plana lensectomy or limbal cataract extraction, Intraocular Lens (IOL) implantation or removal, temporary keratoprosthesis and penetrating keratoplasty, retinotomy, and/or gas or silicone oil tamponade could be performed at the discretion of the operating surgeon and required the assistance of an anterior segment specialist in certain cases.

All patients were to be randomly assigned to one of the three treatment groups: 0.75 mg or 0.15 mg VitrenAse and placebo (ratio 1:1:1). A single intravenous administration of VitrenAse or placebo was administered after the completion of the vitrectomy procedure.
Primary outcome measure(s) Efficacy variables included:
1. Failure rate of retina repair surgery secondary to PVR
2. All cause of failure rate of retina repair surgery
3. Retinal status
Secondary outcome measure(s) Safety variables included:
1. ETDRS best corrected visual acuity
2. Lens status
3. Intraocular pressure
4. Biomicroscopy findings
5. Adverse effects
6. Serum Blood Urea Nitrogen (BUN) and creatinine
Sources of funding Immusol, Inc. (USA)
Trial website http://www.immusol.com/
Publications Results in http://www.ncbi.nlm.nih.gov/pubmed/17846353
Contact name Dr  William  Schiff
  Address 635 West 165th Street
  City/town New York
  Zip/Postcode 10032
  Country United States of America
  Tel +1 212 305 5922
  Fax +1 212 305 0900
  Email wms13@columbia.edu
Sponsor Immusol, Inc. (USA)
  Address 10790 Roselle Street
  City/town San Diego, CA
  Zip/Postcode 92121
  Country United States of America
  Tel +1 858 824 1100
  Fax +1 858 824 1112
  Email bsimon@immusol.com
  Sponsor website: http://www.immusol.com
Date applied 23/08/2006
Last edited 19/02/2008
Date ISRCTN assigned 13/09/2006
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