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Retinal DiseasePhase 2NCT01585441

Finasteride for Chronic Central Serous Chorioretinopathy

A Phase 2 study testing Finasteride in people with Retinal Disease, run by National Eye Institute (NEI) at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Background: Central serous chorioretinopathy (CSC) is a disease that causes fluid to collect under the retina. It affects the macula, which is in the center of the retina and is needed for sharp, clear vision. In many cases, CSC resolves on its own and does not need treatment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Retinal Disease
What is being tested?
Finasteride
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
6 participants
Where
1 siteUnited States
Study dates
Apr 2012to Dec 2013
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant must have chronic Central Serous Chorioretinopathy (CSC) in at least one eye as defined by all of the following criteria. This eye will be referred to as the study eye.
  • The presence of subretinal fluid, as determined by optical coherence tomography (OCT), AND
  • The subretinal fluid must have been present for at least three months or recurrent in cases of chronic CSC/diffuse retinal pigment epitheliopathy, AND/OR
  • The presence of characteristic fluorescein angiographic or autofluorescence features of CSC, such as one or more pinpoint leaks and/or diffuse retinal pigment epitheliopathy noted on fluorescein or descending tract lesions on autofluorescence.
  • Participant must have a steady fixation in the study eye.
  • Participant must have media clear enough in the foveal or parafoveal area in the study eye for good quality photographs.
  • Participant must have visual acuity between 20/25 and 20/400 in the study eye.

Who cannot join

  • Participant has evidence of choroidal neovascularization (CNV) in the study eye.
  • Participant is expected to need ocular surgery in the study eye during the first three months of the study.
  • Participant has had photodynamic therapy (PDT) or focal laser treatment in the study eye within three months prior to enrollment or is expected to need PDT or focal laser treatment in the study eye during the first three months of the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, 20892

Other trials in United States

About this study

Official title: Phase II, Randomized, Placebo-Controlled Study for the Evaluation of Finasteride in the Treatment of Chronic Central Serous Chorioretinopathy

Background:

  • Central serous chorioretinopathy (CSC) is a disease that causes fluid to collect under the retina. It affects the macula, which is in the center of the retina and is needed for sharp, clear vision. In many cases, CSC resolves on its own and does not need treatment. However, in some cases it does not go away or comes back after treatment. This is known as chronic CSC.
  • Chronic CSC may be caused by hormones called androgens. Finasteride is a drug that can alter the effects certain of androgens. Researchers want to compare finasteride with a placebo to see if it is a safe and effective treatment for chronic CSC.
Read more

Objectives:

  • To see if finasteride is a safe and effective treatment for chronic CSC.

Eligibility:

  • Individuals at least 18 years of age who have chronic CSC in one or both eyes.

Design:

  • Participants will be screened with a physical exam and medical history. A full eye exam will be performed. Blood and urine samples will also be collected.
  • Some participants may have photodynamic therapy (PDT), the standard treatment for CSC. PDT helps to reduce the amount of fluid in the eye. Participants will need to wait for 3 months after PDT before starting the finasteride study.
  • Participants will be separated into two groups. One group will take finasteride 5 mg (formulated into capsules); the other group will take a placebo capsule. All participants will take the capsules for 3 months.
  • After 3 months on the assigned capsule (finasteride or placebo), all participants will have the opportunity to take finasteride for at least another 4 years and 9 months. This phase of the study is optional.
  • Participants will have regular study visits. At each visit, they will have physical exams and eye exams. They will also provide blood and urine samples.
  • During the first 3 months, participants will have 2 study visits. After 3 months, if the participant continues in the optional (or as needed) phase of the protocol, visits will occur at Month 6, Month 12 and every 12 months thereafter. However, additional visits may be needed.
Read the detailed description

Objective:

Central serous chorioretinopathy (CSC) is a chorioretinal disorder characterized by an accumulation of serous fluid under the retina. Although acute CSC tends to resolve spontaneously on its own with minimal sequelae, chronic CSC tends to persist and lead to irreversible visual loss. The pathogenesis of CSC is complex. However, systemic androgens have been implicated. Finasteride is an anti-androgen medication that is widely used in the treatment of various conditions. A previous study performed at the NEI demonstrated a reduction in the amount of subretinal fluid among participants treated with 5 mg of finasteride. The objective of this study is to further investigate the efficacy of oral finasteride as a treatment for chronic CSC.

Study Population:

Thirty-eight participants with chronic CSC are eligible. Up to an additional four participants may be enrolled to account for participants who withdraw from the study prior to Month 3.

Design:

In this Phase II, single-center, placebo-controlled, double-masked, randomized trial, investigational product will be administered to two different groups. Half of the participants will be randomized to 5 mg oral finasteride for the initial three months. The other half of the participants will be randomized to placebo for the first three months. At the end of three months of treatment, all participants may be followed for at least four years and nine months. During this follow-up period, all participants will be able to receive finasteride therapy pro re nata (PRN) if subretinal fluid re-emerges. The PRN phase will last until the last participant completes the five years of follow-up. Other standard care treatments, such as photodynamic therapy, will also be permitted after the primary outcome at three months.

Outcome Measures:

The primary outcome for regulatory filing is the proportion of participants with an improvement in best-corrected visual acuity (BCVA) ≥ 15 letters at three months compared to baseline in the study eye. The primary outcome for publication of the study results is the proportion of participants with a subretinal fluid volume decrease ≥ 50% at three months compared to baseline in the study eye. Secondary efficacy outcomes include changes in BCVA, changes in the maximum retinal volume as measured on optical coherence tomography (OCT), changes in central retinal thickness on OCT, changes in leakage as seen on fluorescein angiography (FA), changes in size of existing plaque(s) on indocyanine green (ICG) angiography, changes in autofluorescence patterns seen on fundus autofluorescence (FAF) imaging, changes in mean macular sensitivity as assessed by microperimetry, changes in serum levels of testosterone and dihydrotestosterone (DHT), as well as changes in urine levels of cortisol during the study period. Safety outcomes include the number and severity of adverse reactions from the investigational product and the number of withdrawals.

Conditions
Retinal Disease
Being tested
Finasteride, Placebo
Keywords
Finasteride, Central Serous Chorioretinopathy
Medical subject headings
Retinal Diseases, Central Serous Chorioretinopathy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FinasterideDrug

    Also called Propecia®, Proscar®

    Finasteride is available as white, round 5 mg tablets. During the masked period, the tablets are re-formulated in capsules with inactive ingredients. The re-formulated finasteride capsules are indistinguishable from the placebo capsules.

  • PlaceboDrug

    Capsule with no active ingredients to mimic finasteride

Study groups in NCT01585441
Study groupRoleWhat they receive
Finasteride 5 mgExperimentalParticipants randomly assigned to the finasteride 5 mg arm were instructed to take one capsule daily for three months.
Receives: Drug: Finasteride
PlaceboPlacebo comparatorParticipants randomly assigned to the placebo arm will instructed to take one capsule daily for three months.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of Participants With an Improvement in Best-corrected Visual Acuity (BCVA) ≥ 15 Letters at 3 Months Compared to Baseline.

    This is the regulatory filing primary outcome measure. Visual acuity was measured using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol. Acuity is measured as letters read on an ETDRS eye chart and the letters read equate to Snellen measurements. For example, if a participant reads between 84 and 88 letters, the equivalent Snellen measurement is 20/20.

    Measured: Month 3

  2. Proportion of Participants With a Reduction in Subretinal Fluid Volume ≥ 50% at 3 Months Compared to Baseline

    This is the primary outcome measure for publication of study results. Subretinal fluid volume will be determined by manually moving the segmentation lines of the optical coherence tomography (OCT) image using the "Edit Segmentation" function of the Cirrus™ HD-OCT software. The segmentation lines will be edited to outline the inner and outer borders of the subretinal fluid pocket. This will be done manually for all the individual B-scans of each OCT image, after which the software algorithm automatically calculates the subretinal fluid volume.

    Measured: Month 3

Secondary outcomes (21)
  1. Number of Participants With Adverse Reactions Related to the Investigational Product

    The outcome measure refers only to events that were classified as related to the investigational product.

    Measured: Duration of the study, up to 1.5 years

  2. Number of Participants Who Withdrew From the Study

    Measured: Duration of the study, up to 1.5 years

  3. Changes in Best-corrected Visual Acuity (BCVA) in the Study Eye at Month 3 Compared to Baseline

    Visual acuity was measured using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol. Acuity is measured as letters read on an ETDRS eye chart and the letters read equate to Snellen measurements. For example, if a participant reads between 84 and 88 letters, the equivalent Snellen measurement is 20/20.

    A positive change value indicates improvement of the outcome. A negative change value indicates worsening of the outcome.

    Measured: Month 3

  4. Changes in Best-corrected Visual Acuity (BCVA) in the Study Eye at the Safety Visit Compared to Baseline

    Visual acuity was measured using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol. Acuity is measured as letters read on an ETDRS eye chart and the letters read equate to Snellen measurements. For example, if a participant reads between 84 and 88 letters, the equivalent Snellen measurement is 20/20.

    A positive change value indicates improvement of the outcome. A negative change value indicates worsening of the outcome.

    Measured: Final Study Visit

  5. Percent Change in Subretinal Fluid Volume in the Study Eye at Month 3 Compared to Baseline

    Subretinal fluid volume will be determined by manually moving the segmentation lines of the optical coherence tomography (OCT) image using the "Edit Segmentation" function of the Cirrus™ HD-OCT software. The segmentation lines will be edited to outline the inner and outer borders of the subretinal fluid pocket. This will be done manually for all the individual B-scans of each OCT image, after which the software algorithm automatically calculates the subretinal fluid volume.

    Measured: Month 3

  6. Changes in Mean Macular Sensitivity in the Study Eye at Month 3 Compared to Baseline

    Microperimetry was used to assess macular sensitivity.

    Measured: Month 3

  7. Changes in Mean Macular Sensitivity in the Study Eye at the Safety Visit Compared to Baseline

    Microperimetry was used to assess macular sensitivity.

    Measured: Final Study Visit

  8. Change in Central Retinal Thickness in the Study Eye at Month 3 Compared to Baseline

    Central retinal thickness was assessed by spectral-domain optical coherence tomography (SD-OCT).

    Measured: Month 3

  9. Change in Central Retinal Thickness in the Study Eye at the Safety Visit Compared to Baseline

    Central retinal thickness was assessed by spectral-domain optical coherence tomography (SD-OCT).

    Measured: Final Study Visit

  10. Change in Serum Dihydrotestosterone (DHT) Concentration at Month 3 Compared to Baseline

    The mean change is reported in picograms of DHT per milliliter of serum.

    Measured: Month 3

  11. Change in Serum Dihydrotestosterone (DHT) Concentration at the Safety Visit Compared to Baseline

    The mean change is reported in picograms of DHT per milliliter of serum.

    Measured: Final Study Visit

  12. Change in Serum Testosterone Concentration at Month 3 Compared to Baseline

    The mean change is reported in nanograms of testosterone per decaliter of serum.

    Measured: Month 3

  13. Change in Serum Testosterone Concentration at the Safety Visit Compared to Baseline

    The mean change is reported in nanograms of testosterone per decaliter of serum.

    Measured: Final Study Visit

  14. Change in Urinary Levels of Cortisol at Month 3 Compared to Baseline

    The mean change is reported in micrograms (μg).

    Measured: Month 3

  15. Change in Urinary Levels of Cortisol at the Safety Visit Compared to Baseline

    The mean change is reported in micrograms (μg).

    Measured: Final Study Visit

  16. Number of Participants Presenting No Change in Autofluorescence Patterns at Month 3 Compared to Baseline

    Autofluorescence patterns as observed on Fundus Autofluorescence (FAF) imaging

    Measured: Month 3

  17. Number of Participants Presenting No Change in Autofluorescence Patterns at the Safety Visit Compared to Baseline

    Autofluorescence patterns as observed on Fundus Autofluorescence (FAF) imaging

    Measured: Final Study Visit

  18. Number of Participants Presenting No Change in Size of Existing Plaque(s) on Indocyanine Green (ICG) Angiography at Month 3 Compared to Baseline

    Measured: Month 3

  19. Number of Participants Presenting No Change in Size of Existing Plaque(s) on Indocyanine Green (ICG) Angiography at the Safety Visit Compared to Baseline

    Measured: Final Study Visit

  20. Number of Participants Presenting No Change in Fluid Leakage at Month 3 Compared to Baseline

    Changes in leakage as observed on fluorescein angiography (FA)

    Measured: Month 3

  21. Number of Participants Presenting No Change in Fluid Leakage at the Safety Visit Compared to Baseline

    Changes in leakage as observed on fluorescein angiography (FA)

    Measured: Final Study Visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Apr 2012 (estimated)
  2. Study startApr 2012
  3. Primary completionDec 2013
  4. Study completionDec 2013

Why it stopped: This study was terminated early due to lack of enrollment.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01585441
Sponsor's protocol ID
120119
Other IDs
12-EI-0119
Status last verified
Nov 2014
First submitted
24 Apr 2012
Last updated
4 Dec 2014
Data monitoring committee
Yes

Publications

  • Gomolin JE. Choroidal neovascularization and central serous chorioretinopathy. Can J Ophthalmol. 1989 Feb;24(1):20-3.

    PubMed 2469527
  • Tewari HK, Gadia R, Kumar D, Venkatesh P, Garg SP. Sympathetic-parasympathetic activity and reactivity in central serous chorioretinopathy: a case-control study. Invest Ophthalmol Vis Sci. 2006 Aug;47(8):3474-8. doi: 10.1167/iovs.05-1246.

    PubMed 16877418
  • Spahn C, Wiek J, Burger T, Hansen L. Psychosomatic aspects in patients with central serous chorioretinopathy. Br J Ophthalmol. 2003 Jun;87(6):704-8. doi: 10.1136/bjo.87.6.704.

    PubMed 12770965
  • Lange CA, Qureshi R, Pauleikhoff L. Interventions for central serous chorioretinopathy: a network meta-analysis. Cochrane Database Syst Rev. 2025 Jun 16;6(6):CD011841. doi: 10.1002/14651858.CD011841.pub3.

    PubMed 40522203

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Finasteride in people with Retinal Disease, run by National Eye Institute (NEI) at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 4 Dec 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Dec 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of Participants With an Improvement in Best-corrected Visual Acuity (BCVA) ≥ 15 Letters at 3 Months Compared to Baseline. (time frame: Month 3). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01585441, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Dec 2014; AzTrials last refreshed its copy on 31 Oct 2026.

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