Diabetic RetinopathyPhase 4NCT03962296
A Multicenter, Randomized, Double-blind Non-inferiority Trial to Evaluate the Efficacy and Safety of Entelon®
A Phase 4 study testing Vitis vinifera extract and Calcium Dobesilate in people with Diabetic Retinopathy, run by Hanyang University.
Trial summary
This was a multicentre, randomised, double-blind controlled study that compared the efficacy and safety of V. vinifera extract, calcium dobesilate (CD), and placebo in subjects with DME. Read more about this study
- Who is it for?
- Ages 40 to 80 years
- Conditions the study is for
- Diabetic Retinopathy
- What is being tested?
- Vitis vinifera extract and Calcium Dobesilate
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 153 participants
- Where
- No sites listed yet
- Study dates
- 21 Nov 2012to 26 Jan 2015
- Phase
- Phase 4
- Are there results?
- None posted in the registry
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 40 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Singing a written informed consent prior to selection
- type 2 DM aged between 40 and 80 years
- Diabetes is well controlled with drugs for at least 3 months(HbA1c ≤9%)
- Best-corrected visual acuity over 0.5(20/40) by using ETDRS cisual acuity test
- Diabetic macular edema with hard exudates CSMT ≤300µm
Who cannot join
- Lase therapy or intravitreal injection(anti-VEGF, steroid) intraocular surgery within 6 months of enrollment
- Concomitant macular disease (such as retinal vascular occlusion, choroidal neovascularization, epiretinal membrane, etc)
- Poor image of optical coherence tomography(signal strength under 50% of narmal value)
- Concomitant therapy(Kallidinogenase, Vaccinium myrtillus extract, sulodexide)
- Non-controlled hypertension(systolic pressure >140mmHg or diastolic pressure <90mmHg)
- Severe renal insufficiency(creatinine >2.2mg/dL, or undergoing dialysis)
About this study
Official title: A Multicenter, Randomized, Double-blind Non-inferiority Trial to Evaluate the Efficacy and Safety of Entelon® as Compared to Doxium Tab. And Placebo for the Treatment of Nonproliferative Diabetic Retinopathy
This was a multicentre, randomised, double-blind controlled study that compared the efficacy and safety of V. vinifera extract, calcium dobesilate (CD), and placebo in subjects with DME. Patients made 6 clinic visits, namely the screening visit; baseline visit (T0); and follow-up visits at 3 (T3), 6 (T6), 9 (T9), and 12 (T12) months.
Read the detailed description
Eligible patients were randomised to one of the three study groups in a 1:2:2 ratio (placebo:GSPE:CD group). The randomization schedule was generated and prepared using cubeIWRS® solution (CRScube Inc., Seoul, South Korea, HQ). Randomization was performed using a complete randomization algorithm according to the order of the baseline visit. Subjects took three tablets of a masked study medication three times daily for 12 months; the first dose was taken in the morning of the baseline visit (T0) after baseline assessments were performed, and the last dose was taken in the evening before the month 12 visit (T12). Three daily oral doses of 50mg tablets of GSPE (Entelon®, Hanlim Pharm, Seoul, South Korea) were administered to patients in the GSPE group. Placebo tablets lacked GSPE, but their appearance was identical to that of the study group tablets. Commercially available 250mg CD tablets (Doxium®, Ilsung Pharm, Seoul, South Korea) were used in this study. The identity of the masked study medications was concealed by storing the medications in individually sealed envelopes at the study sites.
- Conditions
- Diabetic Retinopathy
- Being tested
- Vitis vinifera extract, Calcium Dobesilate, Placebo
- Keywords
- Diabetic retinopathy, hard exudates
- Medical subject headings
- Diabetic Retinopathy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vitis vinifera extractDrug
Also called Experimental: Entelon
Three daily oral doses of 50mg tablets of Vitis vinifera extract(Entelon®, Hanlim Pharm, Seoul, South Korea) were administered to patients in this group
Calcium DobesilateDrug
Also called Active comparator:Doxium
Three daily oral doses of 50mg tablets of Calcium Dobesilate(Doxium®, Ilsung Pharm, Seoul, South Korea) were administered to patients in this group
PlaceboDrug
Also called Placebo comparator:Placebo
Placebo tablets lacked Vitis vinifera extract or calcium dobesilate, but their appearance was identical to those of the study group tablets.
| Study group | Role | What they receive |
|---|---|---|
| Entelon | Experimental | Three daily oral doses of 50mg tablets were administered to patients Receives: Drug: Vitis vinifera extract |
| Doxium | Active comparator | Three daily oral doses of 250mg tablets were administered to patients Receives: Drug: Calcium Dobesilate |
| Placebo | Placebo comparator | Three masking tablets were administered to patients Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
The change(Improvement)in the hard exduates
The improvement of HE was defined as a decrease in the HE severity by at least two categories of severity at T12 compared with the baseline visit.
Measured: T0(baseline), T12(12months)
Secondary outcomes (3)
The change of Best-corrected visual acuity(BCVA)
Using the Early Treatment Diabetic Retinopathy Study(ETDRS) protocol
Measured: T0(baseline), T3(3months), T6(6months), T9(9months), T12(12months)
The change of central subfield mean thickness(CSMT)
Using 6-radial scan protocol or cube scan protocol according to local guidelines of each center;the ETDRS style map
Measured: T0(baseline), T3(3months), T6(6months), T9(9months), T12(12months)
The change of total macular volum(TMV)
Using 6-radial scan protocol or cube scan protocol according to local guidelines of each center;the ETDRS style map
Measured: T0(baseline), T3(3months), T6(6months), T9(9months), T12(12months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 May 2019
- Study start21 Nov 2012
- Primary completion26 Jan 2015
- Study completion26 Jan 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Diabetic RetinopathyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 153 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hanyang University
- Sponsor type
- University, hospital or other
- Collaborators
- Hanlim Pharm. Co., Ltd.
- Responsible party
- Principal investigator, Yong Un shin, Hanyang University
- Investigators
- Ha kyoung Kim, PhD, Principal investigator, Hallym University Kangnam Sacred Heart Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03962296
- Sponsor's protocol ID
- ENTL_501
- Status last verified
- May 2019
- First submitted
- 16 May 2019
- Last updated
- 24 May 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Spadea L, Balestrazzi E. Treatment of vascular retinopathies with Pycnogenol. Phytother Res. 2001 May;15(3):219-23. doi: 10.1002/ptr.853.
PubMed 11351356
Study at a glance
From the registry record, last updated by the sponsor on 24 May 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-blind Non-inferiority Trial to Evaluate the Efficacy and Safety of Entelon® as Compared to Doxium Tab. And Placebo for the Treatment of Nonproliferative Diabetic Retinopathy
- ClinicalTrials.gov ID
- NCT03962296
- Acronym / sponsor ID
- ENTL_501
- Conditions
- Diabetic Retinopathy
- Keywords
- Diabetic retinopathy, hard exudates
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 153 participants (actual)
- Lead sponsor
- Hanyang UniversityUniversity, hospital or other
- Collaborators
- Hanlim Pharm. Co., Ltd.
- Study start
- 21 Nov 2012 (actual)
- Primary completion
- 26 Jan 2015 (actual)
- Study completion
- 26 Jan 2015 (actual)
- First posted
- 24 May 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This was a multicentre, randomised, double-blind controlled study that compared the efficacy and safety of V. vinifera extract, calcium dobesilate (CD), and placebo in subjects with DME. Patients made 6 clinic visits, namely the screening visit; baseline visit (T0); and follow-up visits at 3 (T3), 6 (T6), 9 (T9), and 12 (T12) months.
Detailed description
Eligible patients were randomised to one of the three study groups in a 1:2:2 ratio (placebo:GSPE:CD group). The randomization schedule was generated and prepared using cubeIWRS® solution (CRScube Inc., Seoul, South Korea, HQ). Randomization was performed using a complete randomization algorithm according to the order of the baseline visit. Subjects took three tablets of a masked study medication three times daily for 12 months; the first dose was taken in the morning of the baseline visit (T0) after baseline assessments were performed, and the last dose was taken in the evening before the month 12 visit (T12). Three daily oral doses of 50mg tablets of GSPE (Entelon®, Hanlim Pharm, Seoul, South Korea) were administered to patients in the GSPE group. Placebo tablets lacked GSPE, but their appearance was identical to that of the study group tablets. Commercially available 250mg CD tablets (Doxium®, Ilsung Pharm, Seoul, South Korea) were used in this study. The identity of the masked study medications was concealed by storing the medications in individually sealed envelopes at the study sites.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Entelon | Experimental | Drug: Vitis vinifera extractThree daily oral doses of 50mg tablets were administered to patients |
| Doxium | Active comparator | Drug: Calcium DobesilateThree daily oral doses of 250mg tablets were administered to patients |
| Placebo | Placebo comparator | Drug: PlaceboThree masking tablets were administered to patients |
Who may qualify
- Ages
- 40 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Singing a written informed consent prior to selection
- type 2 DM aged between 40 and 80 years
- Diabetes is well controlled with drugs for at least 3 months(HbA1c ≤9%)
- Best-corrected visual acuity over 0.5(20/40) by using ETDRS cisual acuity test
- Diabetic macular edema with hard exudates CSMT ≤300µm
Key exclusion criteria (6 listed)
- Lase therapy or intravitreal injection(anti-VEGF, steroid) intraocular surgery within 6 months of enrollment
- Concomitant macular disease (such as retinal vascular occlusion, choroidal neovascularization, epiretinal membrane, etc)
- Poor image of optical coherence tomography(signal strength under 50% of narmal value)
- Concomitant therapy(Kallidinogenase, Vaccinium myrtillus extract, sulodexide)
- Non-controlled hypertension(systolic pressure >140mmHg or diastolic pressure <90mmHg)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vitis vinifera extractAlso: Experimental: EntelonThree daily oral doses of 50mg tablets of Vitis vinifera extract(Entelon®, Hanlim Pharm, Seoul, South Korea) were administered to patients in this group | Drug | Entelon |
| Calcium DobesilateAlso: Active comparator:DoxiumThree daily oral doses of 50mg tablets of Calcium Dobesilate(Doxium®, Ilsung Pharm, Seoul, South Korea) were administered to patients in this group | Drug | Doxium |
| PlaceboAlso: Placebo comparator:PlaceboPlacebo tablets lacked Vitis vinifera extract or calcium dobesilate, but their appearance was identical to those of the study group tablets. | Drug | Placebo |
Primary outcome
The change(Improvement)in the hard exduates
Time frame: T0(baseline), T12(12months)
The improvement of HE was defined as a decrease in the HE severity by at least two categories of severity at T12 compared with the baseline visit.
3 secondary outcomes
The change of Best-corrected visual acuity(BCVA)
Time frame: T0(baseline), T3(3months), T6(6months), T9(9months), T12(12months)
The change of central subfield mean thickness(CSMT)
Time frame: T0(baseline), T3(3months), T6(6months), T9(9months), T12(12months)
The change of total macular volum(TMV)
Time frame: T0(baseline), T3(3months), T6(6months), T9(9months), T12(12months)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 May 2019.
- Results publication: PubMed 11351356Spadea L, Balestrazzi E. Treatment of vascular retinopathies with Pycnogenol. Phytother Res. 2001 May;15(3):219-23. doi: 10.1002/ptr.853.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ha kyoung Kim, PhD principal investigator
Hallym University Kangnam Sacred Heart Hospital
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Vitis vinifera extract and Calcium Dobesilate in people with Diabetic Retinopathy, run by Hanyang University.
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 5 inclusion and 6 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: finished, as of the sponsor's last update on 24 May 2019. Status can change between updates, so confirm with the study contact before making plans.
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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
The change(Improvement)in the hard exduates (time frame: T0(baseline), T12(12months)). 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 NCT03962296, which also lists 1 linked publication.
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 24 May 2019.