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治験 NCT07409389(対象:AMD - Age-Related Macular Degeneration)は募集準備中です。詳細は治験レーダーのタイル表示と AI 発見ツールで確認するか、ここで質問してください。 | ||
Repeated Low-Level Red-Light Therapy in Dry Age-Related Macular Degeneration 94 非侵襲 自宅 無作為化 二重盲検
Seventy-four participants age...
もっと見るSafety and Efficacy of Repeated Low-Level Red-Light Therapy in Dry Age-Related Macular Degeneration: A Randomized Controlled Trial
- HSEARS20250917007
Red light therapy
Visual function
| 参加グループ/群 | 介入/治療法 |
|---|---|
実薬対照薬RLRL therapy group The RLRL therapy group will undergorepeated low-level red-light therapy (RLRL).The light power through a 4-mm pupil is 0.29 mW for the RLRL device. | RLRL device Each participant in the RLRL therapy group will be provided a repeated low-level red-light therapy (RLRL) device, which they are required to use twice daily for 3minutes per session, with a minimum interval of 4 hours between sessions (5 days a week) for three month. |
シャム対照薬Sham therapy group The sham therapy group will use a sham device, which operates at only 10% of the active RLRL device's power. The light power through a 4-mm pupil is 0.03mW for the sham device. | Sham device Each participant in the sham group will be provided a sham therapy device, which they are required to use twice daily for 3minutes per session, with a minimum interval of 4 hours between sessions (5 days a week) for three month. |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
The mean change in BCVA measured by ETDRS chart | An Early Treatment Diabetic Retinopathy Study (ETDRS) chart (Precision Vision, Villa Park, Illinois, USA) with standard illumination will be used to measure distance visual acuity. Best corrected visual acuity and uncorrected visual acuity will be measured. | At 1month and 3 months compared to baseline |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Change in central drusen volume measured by optical coherence tomography (OCT) | Spectral-domain OCT (Spectralis OCT; Heidelberg Engineering, Heidelberg, Germany) with 49 parallel B-scan lines will be used to image the study eye. The automated real-time (ART) function will average 16 frames per scan. Measurements will include sub-RPE macular drusen volume within the 6 × 6 mm ETDRS grid and mean central subfield sub-RPE drusen thickness within the central 1-mm ETDRS subfield. Automated and manually corrected segmentation of Bruch's membrane and the RPE, provided by the Heidelberg software, will be used for analysis. | At 1month and 3 months compared to baseline |
Change in central drusen thickness measured by optical coherence tomography (OCT). | Spectral-domain OCT (Spectralis OCT; Heidelberg Engineering, Heidelberg, Germany) with 49 parallel B-scan lines will be used to image the study eye. The automated real-time (ART) function will average 16 frames per scan. Measurements will include sub-RPE macular drusen volume within the 6 × 6 mm ETDRS grid and mean central subfield sub-RPE drusen thickness within the central 1-mm ETDRS subfield. Automated and manually corrected segmentation of Bruch's membrane and the RPE, provided by the Heidelberg software, will be used for analysis. | At 1month and 3 months compared to baseline |
Change in retinal sensitivity using microperimetry. | Retinal sensitivity will be assessed using microperimetry performed with the MP-3 microperimeter (NIDEK Co., Ltd., Gamagori, Japan). The device will be used to measure localized retinal sensitivity across the macular region following a standardized testing protocol. Retinal sensitivity thresholds and fixation stability parameters will be recorded and analyzed according to the manufacturer's recommendations. | At 1month and 3 months compared to baseline |
Outcomes of visual-related quality of life (VRQL) assessed by the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) | The 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) will be administered to assess VRQL. This instrument covers 12 subscales: general health, general vision, ocular pain, near vision, distance vision, social functioning, role limitations, mental health, dependency, driving, color vision, and peripheral vision. Each subscale score ranges from 0 to 100, with higher scores indicating better self-reported visual function. | At 3 months compared to baseline |
Size of GA assessed by fundus autofluorescence (FAF) imaging | FAF will be acquired using 488-nm excitation (Spectralis OCT; Heidelberg Engineering, Heidelberg, Germany). GA lesions will be quantified with Region Finder software (Heidelberg Engineering), which provides semi-automated measurement of areas with homogeneous hypoautofluorescence and enables longitudinal assessment of lesion growth. | At 1month and 3 months compared to baseline |
Change in contrast sensitivity using the Mars Letter Contrast Sensitivity Test | The Mars Letter Contrast Sensitivity Test (Mars Perceptrix, Chappaqua, NY, USA) will be performed under standardized photopic lighting at 50 cm. Participants will read letters sequentially from highest to lowest contrast, with contrast decreasing in 0.04 log unit steps. Testing will continue until two consecutive errors are made. Final scores will be calculated per manufacturer's guidelines and expressed in log contrast sensitivity units. | At 1month and 3 months compared to baseline |
Age ≥ 50 years old.
Diagnosis of dry AMD in Age-Related Eye Disease Study (AREDS) category 2 to 4, as determined by color fundus photography and fundus autofluorescence imaging. The AREDS categories will be defined as follows:
i) AREDS category 2 (early AMD): Multiple small drusen, a few intermediate drusen (63-124 μm in diameter), or retinal pigment epithelium (RPE) abnormalities ii) AREDS category 3 (intermediate AMD): Extensive intermediate drusen, including at least one large drusen (> 125 μm in diameter), or geographic atrophy (GA) not involving the center of the fovea.
iii) AREDS category 4 (advanced/late AMD): GA involving the center of the macula.
If both eyes meet the inclusion criteria, both eyes will be included in the study analysis.
ETDRS BCVA score between 50 and 75 (Snellen equivalent of 20/32 to 20/100). Willingness to provide written informed consent after being informed of the nature of the study.
- Previous or active neovascular maculopathy.
- Presence of center involving GA within the central 500 μm of the ETDRS grid.
- Ocular disease other than dry AMD that could cause drusen (glomerulonephritis Type 2, Autosomal dominant drusen), GA (North Carolina macular dystrophy), or mitochondrial disorders (parafoveal petaloid GA, Stargardt disease).
- Invasive eye surgery (e.g. cataract extraction, capsulotomy) within 3 months.
- Cognitive impairment or history of epilepsy.
- Other significant ocular disease affecting visual acuity (e.g., diabetic macular edema, uncontrolled glaucoma, active uveitis, vitreoretinal disease, intraocular tumor, retinal vascular disease, lens opacities more severe than C2, N2, P2 \[LOCS III\]).
Afterimage > 5 min (contraindication of red-light therapy).
Hong Kong