Retinal Diseases Clinical Trial
Official title:
Efficacy of Ranibizumab Therapy With Aflibercept in Patients With Diabetic Macular Edema
The purpose of this study in to compare the efficacy of treatment of diabetic macular edema
(DME) using Ranibizumab (Lucenti®), Aflibercept (Eylea®) and Aflibercept (Eylea®) plus
Ranibizumab (Lucentis®).
It is a randomized clinical trial that will evaluate the efficacy of the combination of two
substances currently used in the treatment of DME. Will be allocated in different four
groups randomly pacients who receive treatment with intravitreal injections of ranibizumab,
aflibercept or a combination of aflibercept and ranibizumab.
Interventions will be carried out with intravitreal injections in patients with formal
indications of diabetic macular edema treatment previously assessed with complete eye
examination in Goiania Eye Institute(Instituto de Olhos de Goiânia)
Patients will be divided into four groups:
- In the first group will be held three applications of intravitreal ranibizumab 0.1 ml,
with one application every month and follow up with Optical Coherence Tomography on
days 1, 3, 5, 10 and 30 following the application.
- In the second group will be held three applications of Intravitreal Aflibercept 0.1 ml,
with one application each month followed by monitoring with Optical Coherence
Tomography on days 1, 3, 5, 10 and 30 subsequent
- The third group will be held two applications of Ranibizumab 0.1 ml interspersed with
one application of Aflibercept 0.1 ml in the second month and subsequent evaluation
with Optical Coherence Tomography on days 1, 3, 5, 10 and 30.
- In the fourth group will be held two applications of 0.1 ml Aflibercept interspersed
with one application of Ranibizumab 0.1 ml in the second month and subsequent
evaluation with Optical Coherence Tomography on days 1, 3, 5, 10 and 30.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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