Dry Macular DegenerationBIRC-02NCT04469140
Non Exudative AMD Imaged With SS-OCT- Extension
An observational study of Dry Macular Degeneration, run by Boston Image Reading Center at 5 sites in 2 countries.
Trial summary
The investigators wish to better understand the role of the choriocapillaris (CC) in the formation and progression of non-exudative in age related macular degeneration (armd) by imaging the retinal pigment epithelium (rpe) and the choroidal microvasculature and by studying their inter-dependence to determine if the… Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Dry Macular Degeneration
- What is being tested?
- SS-OCT imaging
- Type of treatment
- Medical device
- How many people
- 450 participants
- Where
- 5 sitesin 2 countries
- Study dates
- 18 Jan 2020to Aug 2025
- Phase
- Observational
- 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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: Subjects with intermediate AMD, Geographic Atrophy and nascent Geographic Atrophy and who have completed the BIRC-01 study
Who may be able to join
- Enrollment in and completion of the BIRC-01 study
- Clinic diagnosis of non-exudative iAMD in at least one eye with a drusen volume in the central 3 mm circle centered on the fovea of at least 0.02 mm3 in the absence of GA or nGA as diagnosed with OCT en face imaging OR Clinical diagnosis of early or early/intermediate stage AMD in one eye in the absence of nGA or GA and exudative AMD in the other eye OR clinical diagnosis of GA or nGA secondary to AMD that is at least the size of a large druse (125 microns in diameter; 0.05 mm2) and no greater than 7 disc areas (17 mm2) in at least one eye which has never been treated with anti-VEGF agents
- Willing and able to comply with clinic visits and study-related procedures
- Provide signed informed consent
Who cannot join
- Subjects with exudative AMD in both eyes
- Eyes with evidence of non-proliferative and proliferative diabetic retinopathy.
- Presence of confounding ocular diagnosis such as myopia >6D, or other ocular conditions that may cause retinal pigment epithelium atrophy or exudative MNV
- Subjects currently or previously enrolled in other interventional clinical trials in which treatment was administered to the study eye.
- Previous vitrectomy or intravitreal injections in the study eye.
- Axial length measurement ≥ 26 mm.
- Subjects unable to give informed consent.
- Subjects who are unable to comply with imaging guidelines
Trial locations and contacts
5 sites in 2 countries.
5 sites in 2 countries
United States4 sites, 4 recruiting
- Recruiting
New England Eye Center/Tufts Medical Center
Boston, Massachusetts, 02111
Nancy Gee, MPH
Michelle Liang, MD
- Recruiting
University of California Los Angeles Doheny Eye Institute
Los Angeles, California, 91105
Janett Mendez
SriniVas Sadda, MD
- Recruiting
Bascom Palmer Eye Institue
Miami, Florida, 33136
Monica Arango
Philip J Rosenfeld, MD, PhD
- Recruiting
Vitreous Retina Macular Consultants of NY
New York, New York, 10022
Renata Salgado
Bailey Freund, MD
Australia1 site, 1 recruiting
- Recruiting
Melbourne University CERA
East Melbourne, Victoria, 3002
Emily Caruso
Robyn Guymer, MD
About this study
Official title: Non Exudative Age-Related Macular Degeneration Imaged With Swept Source Optical Coherence Tomography: The Extension Study
The investigators wish to better understand the role of the choriocapillaris (CC) in the formation and progression of non-exudative in age related macular degeneration (armd) by imaging the retinal pigment epithelium (rpe) and the choroidal microvasculature and by studying their inter-dependence to determine if the loss of the CC could prove useful as an anatomic clinical trial endpoint in future drug trials.
Read the detailed description
The investigators wish to better understand the role of the choriocapillaris (CC) in the formation and progression of non-exudative in age related macular degeneration (armd) by imaging the retinal pigment epithelium (rpe) and the choroidal microvasculature and by studying their inter-dependence to determine if the loss of the CC could prove useful as an anatomic clinical trial endpoint in future drug trials. This is an extension of a currently ongoing longitudinal observational study (BIRC-01) (NCT03688243).
- Conditions
- Dry Macular Degeneration
- Being tested
- SS-OCT imaging
- Keywords
- AMD, Early AMD, Intermediate AMD, Geographic Atrophy, Nascent GA
- Medical subject headings
- Geographic Atrophy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SS-OCT imagingDevice
Also called Zeiss PlexElite, PlexElite 9000, Swept Source OCT, Optical Coherence Tomography Angiography
All subjects will undergo retinal imaging using the Zeiss PlexElite SS-OCT, a non-contact, non-invasive ocular imaging instrument
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1 'IMPACT Cohort' | Subjects with intermediate AMD in both eyes, and at least one eye with a drusen volume in the central 3 mm circle centered on the fovea of at least 0.02mm3 in the absence of GA or nGA as diagnosed with OCT en face imaging OR subjects with AMD (early or intermediate) diagnosed in one eye and exudative AMD diagnosed in the fellow eye will undergo SS-OCT imaging every 3 months for 2 years Receives: Device: SS-OCT imaging | |
| Cohort 2 'SWAGGER Cohort' | Subjects with GA or nGA secondary to AMD that is at least the size of a large druse (125 microns in diameter; 0.05 mm2) and no greater than 7 disc areas (17 mm2) in at least one eye will undergo SS-OCT imaging every 3 months for 2 years Receives: Device: SS-OCT imaging | |
| Cohort 3 | Subjects with GA enrolled in another trial Receives: Device: SS-OCT imaging |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in the Percentage of Choroidal Perfusion Deficits at 1 year compared to Baseline
Compare the percentage of choroidal perfusion deficits as measured using automated algorithms
Measured: 1-year and 2-year time points
Secondary outcomes (5)
Pre-existing and new sub-clinical Macular Neovascularization (MNV)
Identify the number of abnormal new vessels arising from the Choroid at Baseline, 1-year and 2-year time points
Measured: 1-year and 2-year time points
Automated Drusen Volume measurements
Compare the automated measurements of drusen volume using the Zeiss algorithm with manual measurements by trained readers
Measured: 1-year and 2-year time points
Automated Geography Atrophy measurements
Compare the automated measurements of Geography Atrophy area using the Zeiss algorithm with manual measurements by trained readers
Measured: 1-year and 2-year time points
Choroidal Thickness (millimeters)
Correlate Choroidal Thickness measurements (millimeters) with Age related Macular Degeneration (AMD) progression/Geographic Atrophy growth rates
Measured: 1-year and 2-year time points
Choroidal Vascularity Index (percentage)
Correlate Choroidal Vascularity Index (percentage) with Age related Macular Degeneration (AMD) progression/Geographic Atrophy growth rates
Measured: 1-year and 2-year time points
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2020
- Study start18 Jan 2020
- Primary completionAug 2025 (estimated)
- Study completionAug 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Dry Macular DegenerationStudies 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 450 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Boston Image Reading Center
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Nadia Waheed, MD, Principal investigator, Boston Image Reading Center/Tufts Medical CenterPhilip Rosenfield, MD, PhD, Principal investigator, Bascom Palmer Eye Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04469140
- Sponsor's protocol ID
- BIRC-02 IMPACT SWAGGER
- Acronym
- BIRC-02
- Status last verified
- Mar 2022
- First submitted
- 23 Jun 2020
- Last updated
- 10 Mar 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Non Exudative Age-Related Macular Degeneration Imaged With Swept Source Optical Coherence Tomography: The Extension Study
- ClinicalTrials.gov ID
- NCT04469140
- Acronym / sponsor ID
- BIRC-02 / BIRC-02 IMPACT SWAGGER
- Conditions
- Dry Macular Degeneration
- Keywords
- AMD, Early AMD, Intermediate AMD, Geographic Atrophy, Nascent GA
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 450 participants (estimated)
- Lead sponsor
- Boston Image Reading CenterIndustry (pharma, biotech, devices)
- Study start
- 18 Jan 2020 (actual)
- Primary completion
- Aug 2025 (estimated)
- Study completion
- Aug 2025 (estimated)
- First posted
- 13 Jul 2020 (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.
The investigators wish to better understand the role of the choriocapillaris (CC) in the formation and progression of non-exudative in age related macular degeneration (armd) by imaging the retinal pigment epithelium (rpe) and the choroidal microvasculature and by studying their inter-dependence to determine if the loss of the CC could prove useful as an anatomic clinical trial endpoint in future drug trials.
Detailed description
The investigators wish to better understand the role of the choriocapillaris (CC) in the formation and progression of non-exudative in age related macular degeneration (armd) by imaging the retinal pigment epithelium (rpe) and the choroidal microvasculature and by studying their inter-dependence to determine if the loss of the CC could prove useful as an anatomic clinical trial endpoint in future drug trials. This is an extension of a currently ongoing longitudinal observational study (BIRC-01) (NCT03688243).
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Cohort 1 'IMPACT Cohort' | – | Device: SS-OCT imagingSubjects with intermediate AMD in both eyes, and at least one eye with a drusen volume in the central 3 mm circle centered on the fovea of at least 0.02mm3 in the absence of GA or nGA as diagnosed with OCT en face imaging OR subjects with AMD (early or intermediate) diagnosed in one eye and exudative AMD diagnosed in the fellow eye will undergo SS-OCT imaging every 3 months for 2 years |
| Cohort 2 'SWAGGER Cohort' | – | Device: SS-OCT imagingSubjects with GA or nGA secondary to AMD that is at least the size of a large druse (125 microns in diameter; 0.05 mm2) and no greater than 7 disc areas (17 mm2) in at least one eye will undergo SS-OCT imaging every 3 months for 2 years |
| Cohort 3 | – | Device: SS-OCT imagingSubjects with GA enrolled in another trial |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Subjects with intermediate AMD, Geographic Atrophy and nascent Geographic Atrophy and who have completed the BIRC-01 study
Key inclusion criteria (4 listed)
- Enrollment in and completion of the BIRC-01 study
- Clinic diagnosis of non-exudative iAMD in at least one eye with a drusen volume in the central 3 mm circle centered on the fovea of at least 0.02 mm3 in the absence of GA or nGA as diagnosed with OCT en face imaging OR Clinical diagnosis of early or early/intermediate stage AMD in one eye in the absence of nGA or GA and exudative AMD in the other eye OR clinical diagnosis of GA or nGA secondary to AMD that is at least the size of a large druse (125 microns in diameter; 0.05 mm2) and no greater than 7 disc areas (17 mm2) in at least one eye which has never been treated with anti-VEGF agents
- Willing and able to comply with clinic visits and study-related procedures
- Provide signed informed consent
Key exclusion criteria (8 listed)
- Subjects with exudative AMD in both eyes
- Eyes with evidence of non-proliferative and proliferative diabetic retinopathy.
- Presence of confounding ocular diagnosis such as myopia >6D, or other ocular conditions that may cause retinal pigment epithelium atrophy or exudative MNV
- Subjects currently or previously enrolled in other interventional clinical trials in which treatment was administered to the study eye.
- Previous vitrectomy or intravitreal injections in the study eye.
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 |
|---|---|---|
| SS-OCT imagingAlso: Zeiss PlexElite, PlexElite 9000, Swept Source OCT, Optical Coherence Tomography AngiographyAll subjects will undergo retinal imaging using the Zeiss PlexElite SS-OCT, a non-contact, non-invasive ocular imaging instrument | Device | Cohort 1 'IMPACT Cohort', Cohort 2 'SWAGGER Cohort', Cohort 3 |
Primary outcome
Change in the Percentage of Choroidal Perfusion Deficits at 1 year compared to Baseline
Time frame: 1-year and 2-year time points
Compare the percentage of choroidal perfusion deficits as measured using automated algorithms
5 secondary outcomes
Pre-existing and new sub-clinical Macular Neovascularization (MNV)
Time frame: 1-year and 2-year time points
Automated Drusen Volume measurements
Time frame: 1-year and 2-year time points
Automated Geography Atrophy measurements
Time frame: 1-year and 2-year time points
Choroidal Thickness (millimeters)
Time frame: 1-year and 2-year time points
Choroidal Vascularity Index (percentage)
Time frame: 1-year and 2-year time points
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2022.
- Individual participant dataSharing planned: Undecided
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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.
Nadia Waheed, MD principal investigator
Boston Image Reading Center/Tufts Medical Center
Philip Rosenfield, MD, PhD principal investigator
Bascom Palmer Eye Institute
5 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Dry Macular Degeneration, run by Boston Image Reading Center at 5 sites in 2 countries.
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 4 inclusion and 8 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: status not confirmed, as of the sponsor's last update on 10 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in United States, Australia. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Jen Tourtellot (1-855-535-BIRC (2472), admin@bostonimagereadingcenter.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in the Percentage of Choroidal Perfusion Deficits at 1 year compared to Baseline (time frame: 1-year and 2-year time points). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 10 Mar 2022; AzTrials last refreshed its copy on 27 Oct 2026.