Central Serous ChorioretinopathyCSCR POOHNCT05278169
Central Serous Chorioretinopathy Registry and Pachychoroid Observation and Natural History Study
An observational study of Central Serous Chorioretinopathy, run by Chinese University of Hong Kong at 3 sites in Hong Kong.
Trial summary
Objectives: 1. To conduct a Natural History Observation Study to characterize the clinical features and progression of Central Serous Chorioretinopathy (CSCR) from the earliest to the vision-threatening stages. 2. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Central Serous Chorioretinopathy
- How many people
- 350 participants
- Where
- 3 sitesHong Kong
- Study dates
- 11 Mar 2022to 31 Dec 2024
- How long will I take part?
- 2 Years
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: The study aims to enrol a total of 350 patients with CSCR, of which: * 170 subjects from a previous cross-sectional observation study titled 'The Association of Sleep Disturbances and Maculopathy' (IRB / REC No.: 2018.158) at the CUHK Eye Centre. * An addition of 180 subjects will be recruited during the proposed study duration. Of the 180 new recruits, 100 will be recruited from Hong Kong Eye Hospital and CUHK Eye Centre.The remaining 80 subjects will be recruited from Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital and Alice Ho Miu Ling Nethersole Hospital.
Who may be able to join
- Presence or evidence of prior serous retinal detachment documented on OCT involving the posterior pole unrelated to another disease process.
- At least 1 area of retinal pigment epithelium (RPE) alteration on FAF, SD-OCT, or infrared imaging.
- Subfoveal choroidal thickness (SFCT) of 300μm or more on SD enhanced depth imaging (EDI) OCT or SS-OCT for at least one eye.
- Patient 18 years or older.
- Willing to undergo pupil dilation, and protocol-required procedures for both eyes.
Who cannot join
- Other maculopathy on clinical examination such as age-related macular degeneration (AMD).
- Media opacity such as cataract that could interfere with adequate acquisition of fundal images.
- Pregnant or nursing women.
Trial locations and contacts
3 sites in 1 country.
Hong Kong3 sites
CUHK Eye Centre
Hong Kong
Hong Kong Eye Hospital
Hong Kong
Prince of Wales Hospital
Hong Kong
About this study
Objectives:
- To conduct a Natural History Observation Study to characterize the clinical features and progression of Central Serous Chorioretinopathy (CSCR) from the earliest to the vision-threatening stages.
- Collect genetic samples of affected individuals and their families to establish whether there is a genetic basis for the disease.
- To create a Registry of patients affected by CSCR who may agree to be contacted for inclusion in future clinical trials.
- To determine the incidence and risk factors for progression of pachychoroid phenotypes identified from the unaffected fellow eyes of CSCR patients.
Read more
Design and subjects:
Observation, non-interventional study with prospective follow-up for 2 years. The study aims to enroll 350 patients with CSCR (100 from Hong Kong Eye Hospital, 80 from Prince of Wales Hospital and Alice Ho Miu Ling Nethersole Hospital, and 170 from Chinese University of Hong Kong (CUHK) Eye Centre at Hong Kong Eye Hospital).
Study instruments:
Functional tests include visual acuity and microperimetry. Retinal imaging with non-invasive ultra-widefield colour fundus camera, fundus autofluorescence (FAF) and optical coherence tomography (OCT). Questionnaires for risk factor profiling and quality of life assessment. Blood specimen will be collected for genetic testing if found to have a clinical diagnosis of CSCR as determined at CUHK Eye Centre at Hong Kong Eye Hospital.
Main outcome measures:
The primary outcome will be longitudinal alteration of retinal pigment epithelium defects on FAF, spectral domain (SD) OCT and infrared imaging. The secondary outcomes are: 1) progressive attenuation of outer nuclear layer (ONL), external limiting membrane (ELM) and ellipsoid zone (EZ) on SD OCT, 2) longitudinal changes of subfoveal choroidal thickness on swept source (SS) OCT, 3) incidence and onset of intraretinal cysts, 4) incidence and onset of type 1 choroidal neovascularization, 5) rate of choriocapillaris non- perfusion on SS OCT angiography (OCTA), 6) rate of loss of retinal sensitivity using microperimetry tests, 7) rate of visual acuity loss, 8) epidemiology of risk factors associated with CSCR, 9) identification of genes and the genetic variants that are associated with susceptibility to CSCR and 10) documentation of the clinical course of serous retinal detachment recurrence(s), persistence and resolution.
Read the detailed description
Significance and Applications of Study Results:
- The proposed study will determine comprehensive clinical characterization of a large cohort of 350 CSCR patients with novel, non-invasive imaging techniques to examine the ultrastructure of the choroid and retina to detect subtle changes that are not visible through routine eye check and conventional fundoscopy examination.
II) To understand the pathophysiology of CSCR through studying ultrastructural changes of chorioretina and genotypes.
III) Longitudinal data from this study will determine CSCR progression risks and treatment outcomes. Our large CSCR database will be a unique, large cohort study with robust clinical and molecular characterizations. This knowledge could help to develop realistic and effective diagnostic tests and individualized treatments for CSCR, and aid in the design of future clinical trials.
Data analysis:
Statistical analyses will be conducted using standard statistical software (SPSS, STATA). The investigators will use a variety of statistical techniques for analysis. Unless otherwise specified, all statistical tests will be two-sided with a 0.05 level of significance. All confidence intervals will be two-sided with 95% confidence level. Categorical variables will be presented as the number and percentage of patients in each category. Continuous variables will be summarized using descriptive statistics such as n, mean, standard deviation, median, minimum, and maximum.
Descriptive statistics will be provided for patient demographics and baseline characteristics. Other relevant baseline information will be listed and summarized as appropriate with descriptive statistics.
An independent committee will review the data and safety of the study. Adequate records will be maintained and made available for audit / inspection. All study documents will be kept for a period of at least three years after study closure.
Significant Differences from Usual Management:
- The study is a prospective natural history observation study and the protocol requires a total of 5 visits (in addition to routine care) to the CUHK Eye Centre at Hong Kong Eye Hospital for a duration of 2 years.
- Blood taking will only be performed during the first (baseline) visit for genetic study.
Methods:
For Visit 1 (Baseline, Month 0):
- Demography and Past medical history (1.1. Medical history, 1.2. Drugs history, 1.3. Blood pressure (BP) and Body-mass index (BMI) measurements, 1.4. Previous fluorescein and indocyanine green angiography images (if available) will be reviewed)
- Visual function, intraocular pressure and ocular biometry (2.1. Best corrected visual acuity, 2.2. Autorefraction, 2.3. Axial length measurement, 2.4. Fundus Autofluorescence, 2.5. Macular Spectral Domain Optical Coherence Tomography (SD-OCT) 2.6. Ultra-widefield color fundus photography and autofluorescence, 2.7. Macular Swept Source Optical Coherence Tomography (SS-OCT), 2.8. OCT angiography, 2.9. Microperimetry)
- Sleep quality, mood and quality of life questionnaires (3.1. Morningness and Eveningness Questionnaire, 3.2. Pittsburgh Sleep Quality Index (PSQI), 3.3. Insomnia Severity Index (ISI), 3.4. Epworth Sleepiness Scale (ESS), 3.5. General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) questionnaires, 3.6. National Eye Institute Visual Functioning Questionnaire - 25 (NEI-VFQ-25) quality of life questionnaire)
- Blood taking for genetic study
For Visit 2 (Month 6) to Visit 5 (Months 24):
1.1 to 1.4 will be reviewed for any updates. The eye investigations that will be repeated are: 2.1, 2.4 - 2.9 The questionnaires that will be repeated are: 3.5 - 3.6 (only during Visits 3 and 5)
- Conditions
- Central Serous Chorioretinopathy
- Keywords
- Central Serous Chorioretinopathy, Pachychoroid, Optical Coherence Tomography
- Medical subject headings
- Central Serous Chorioretinopathy
What is being measured
The primary outcome is the main question the study is designed to answer.
Longitudinal change of retinal pigment epithelium defects on Fundus Autofluorescence (FAF) from baseline and between visits.
Fundus Autofluorescence - performed using Spectralis (Heidelberg Engineering, Heidelberg, Germany) to acquire 35 degree and 55 degree image centred on the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Longitudinal change of retinal pigment epithelium defects on Spectral Domain Optical Coherence Tomography (SD-OCT) from baseline and between visits.
Macular Spectral Domain Optical Coherence Tomography (SD-OCT) - performed using Spectralis (Heidelberg Engineering, Heidelberg, Germany) to acquire a 6x6 mm cube comprising of 97 retinal scans centred on the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Longitudinal change of retinal pigment epithelium defects on infrared imaging from baseline and between visits.
Ultra-widefield color fundus photography and autofluorescence (Optos PLC, Dunfermline, UK) - performed to capture 240 degree image centred on the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Secondary outcomes (43)
Progressive attenuation of outer nuclear layer (ONL), external limiting membrane (ELM) and ellipsoid zone (EZ) on SD-OCT.
Macular Spectral Domain Optical Coherence Tomography (SD-OCT) - performed using Spectralis (Heidelberg Engineering, Heidelberg, Germany) to acquire a 6x6 mm cube comprising of 97 retinal scans centred on the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Changes of subfoveal choroidal thickness on swept source optical coherence tomography (SS-OCT).
Macular Swept Source Optical Coherence Tomography (SS-OCT) - performed using Triton Deep Range Imaging OCT (Topcon Corp., Tokyo, Japan) to acquire 12 raster radial lines (300 x 50), 1 clock hour apart and centered on the fovea, with 16 frames averaged in each B-scan. Each scan is 12mm in length. Bruch's membrane and choroidal-scleral interface (CSI) were delineated with the machine's built-in autosegmentation software, with manual adjustments if necessary. Subfoveal choroidal thickness (SFCT) is defined as the distance from the Bruch's membrane and CSI and was automatically measured by built-in caliper at the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Incidence of intraretinal cysts.
Determined by retinal imaging with non-invasive ultra-widefield colour fundus camera, fundus autofluorescence (FAF) and optical coherence tomography (OCT).
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Onset of intraretinal cysts.
Determined by retinal imaging with non-invasive ultra-widefield colour fundus camera, fundus autofluorescence (FAF) and optical coherence tomography (OCT).
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Incidence of type 1 choroidal neovascularization.
Determined by retinal imaging with non-invasive ultra-widefield colour fundus camera, fundus autofluorescence (FAF) and optical coherence tomography (OCT).
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Onset of type 1 choroidal neovascularization.
Determined by retinal imaging with non-invasive ultra-widefield colour fundus camera, fundus autofluorescence (FAF) and optical coherence tomography (OCT).
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Changes of choriocapillaris non-perfusion on SS OCT angiography (OCTA).
OCT angiography (OCTA) - performed using the Triton Deep Range Imaging OCT (Topcon Corp., Tokyo, Japan) to acquire 6mm macular cube in resolution of 512x512 and 3D OCT image. Each eye will be scanned in duplicate (3 times) so that averaging can be performed for choriocapillaris flow void quantification.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Changes of retinal sensitivity using microperimetry tests.
Microperimetry (MAIA, Italy) for macular function and sensitivity assessment.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Visual acuity changes.
Best corrected visual acuity (ETDRS chart letter score).
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of medical history with CSCR.
Detailed survey will be conducted on smoking status and medical history including hypertension, coronary heart disease, cerebrovascular disease, erectile dysfunction, Helicobacter pylori infection, peptic ulcer, gastroesophageal reflux, autoimmune diseases, organ transplant, pregnancy, eczema, endocrine diseases such as Cushing syndrome, anxiety and depression.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of oral corticosteroids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of intravenous corticosteroids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of intravitreal corticosteroids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of periocular corticosteroids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of intranasal corticosteroids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of intra-articular corticosteroids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of epidural corticosteroids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of dermal corticosteroids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of antacids with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of antihistamines with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of nasal sprays that contain pseudoephedrine and oxymetazoline with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of phosphodiesterase-5 inhibitors with CSCR.
Phosphodiesterase-5 inhibitors such as sildenafil.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of blood pressure (BP) with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of body-mass index (BMI) with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of previous findings in fluorescein and indocyanine green angiography images with CSCR.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of best corrected visual acuity with CSCR.
Best corrected visual acuity as measured by ETDRS chart letter score.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of autorefraction with CSCR.
Measured: At baseline (Month 0).
Epidemiological association of axial length measurement with CSCR.
Axial length measurement as measured by IOL-Master (Zeiss, Germany).
Measured: At baseline (Month 0).
Epidemiological association of findings in Fundus Autofluorescence with CSCR.
Fundus Autofluorescence will be performed using Spectralis (Heidelberg Engineering, Heidelberg, Germany) to acquire 35 degree and 55 degree image centred on the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in Macular Spectral Domain Optical Coherence Tomography (SD-OCT) with CSCR.
Macular Spectral Domain Optical Coherence Tomography (SD-OCT) will be performed using Spectralis (Heidelberg Engineering, Heidelberg, Germany) to acquire a 6x6 mm cube comprising of 97 retinal scans centred on the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in ultra-widefield color fundus photography and autofluorescence with CSCR.
Ultra-widefield color fundus photography and autofluorescence (Optos PLC, Dunfermline, UK) will be performed to capture 240 degree image centred on the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in Macular Swept Source Optical Coherence Tomography (SS-OCT) with CSCR.
Macular Swept Source Optical Coherence Tomography (SS-OCT) will be performed using Triton Deep Range Imaging OCT (Topcon Corp., Tokyo, Japan) to acquire 12 raster radial lines (300 x 50), 1 clock hour apart and centered on the fovea, with 16 frames averaged in each B-scan. Each scan is 12mm in length. Bruch's membrane and choroidal-scleral interface (CSI) were delineated with the machine's built-in autosegmentation software, with manual adjustments if necessary. Subfoveal choroidal thickness (SFCT) is defined as the distance from the Bruch's membrane and CSI and was automatically measured by built-in caliper at the fovea.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in OCT angiography with CSCR.
OCT angiography will be performed using the Triton Deep Range Imaging OCT (Topcon Corp., Tokyo, Japan) to acquire 6mm macular cube in resolution of 512x512 and 3D OCT image. Each eye will be scanned in duplicate (3 times) so that averaging can be performed for choriocapillaris flow void quantification.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in microperimetry with CSCR.
Microperimetry (MAIA, Italy) will be preformed for macular function and sensitivity assessment.
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of morningness - eveningness choronotype with CSCR.
The brief version of the Morningness- Eveningness Questionnaire, which has been validated in Chinese population with satisfactory psychometric properties, will be employed to measure the chronotype.
Measured: At baseline (Month 0).
Epidemiological association of sleep quality with CSCR.
Pittsburgh Sleep Quality Index (PSQI) for evaluating one's overall sleep quality and the severity of insomnia symptoms, respectively. Minimum Score: 0. Maximum Score: 21. A higher score means a worse sleep quality.
Measured: At baseline (Month 0).
Epidemiological association of severity of insomnia with CSCR.
Insomnia Severity Index (ISI) for evaluating one's overall sleep quality and the severity of insomnia symptoms, respectively. Minimum Score: 0. Maximum Score: 28. A higher score means a higher severity of insomnia.
Measured: At baseline (Month 0).
Epidemiological association of excessive daytime sleepiness with CSCR.
Epworth Sleepiness Scale (ESS): ESS will be also employed to measures excessive daytime sleepiness in our current study. Minimum Score: 0. Maximum Score: 24. A higher score means a higher severity of excessive daytime sleepiness.
Measured: At baseline (Month 0).
Epidemiological association of anxiety with CSCR.
Generalised Anxiety Disorder (GAD-7) questionnaire: This a validated anxiety scale. Minimum Score: 1. Maximum Score: 21. A higher score means a higher severity of anxiety.
Measured: At baseline (Month 0), Month 12 and Month 24.
Epidemiological association of depression with CSCR.
Patient Health Questionnaire-9 (PHQ-9) questionnaire: This a validated depression scale. Minimum Score: 1. Maximum Score: 27. A higher score means a higher severity of depression.
Measured: At baseline (Month 0), Month 12 and Month 24.
Epidemiological association of quality of life with CSCR.
The National Eye Institute 25-Item Visual Function Questionnaire (NEI-VFQ-25) quality of life questionnaire. Minimum Score: 0. Maximum Score: 100. A higher score means a better vision-targeted health-related quality of life.
Measured: At baseline (Month 0), Month 12 and Month 24.
Association of single nucleotide polymorphism (SNP) with susceptibility to CSCR
A 10mL blood sample will be drawn from the Participant by venipuncture for DNA sequencing. Odds ratio (OR) (and its 95% confidence interval (CI)) will be calculated to assess the association of the SNP with the susceptibility to CSCR of the Participant.
Measured: At baseline (Month 0).
Number of Participants with serous retinal detachment
Investigators will determine whether serous retinal detachment exists after reviewing the results of functional tests, which include visual acuity and microperimetry, and retinal imaging with non-invasive ultra-widefield colour fundus camera, fundus autofluorescence (FAF) and optical coherence tomography (OCT).
Measured: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Mar 2022
- Study start11 Mar 2022
- Primary completion31 Dec 2024 (estimated)
- Study completion31 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (12)Papers the sponsor has linked to this study.
- Other trials for Central Serous ChorioretinopathyStudies of the same condition, open and under way.
- More trials run by Chinese University of Hong KongThe sponsor's other registered studies.
- 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
- Case only
- Time perspective
- Prospective
- Enrolment
- 350 participants (estimated)
- Target duration
- 2 Years
Sponsor and investigators
- Lead sponsor
- Chinese University of Hong Kong
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr Danny Siu-Chun NG, Chinese University of Hong Kong
- Investigators
- Danny Siu-Chun Ng, FHKAM(Ophth), Principal investigator, Chinese University of Hong Kong
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05278169
- Sponsor's protocol ID
- CSCR POOH
- Acronym
- CSCR POOH
- Status last verified
- Aug 2023
- First submitted
- 17 Jan 2022
- Last updated
- 30 Aug 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Tsai DC, Chen SJ, Huang CC, Chou P, Chung CM, Huang PH, Lin SJ, Chen JW, Chen TJ, Leu HB, Chan WL. Epidemiology of idiopathic central serous chorioretinopathy in Taiwan, 2001-2006: a population-based study. PLoS One. 2013 Jun 24;8(6):e66858. doi: 10.1371/journal.pone.0066858. Print 2013.
PubMed 23826160Kitzmann AS, Pulido JS, Diehl NN, Hodge DO, Burke JP. The incidence of central serous chorioretinopathy in Olmsted County, Minnesota, 1980-2002. Ophthalmology. 2008 Jan;115(1):169-73. doi: 10.1016/j.ophtha.2007.02.032.
PubMed 18166410Daruich A, Matet A, Dirani A, Bousquet E, Zhao M, Farman N, Jaisser F, Behar-Cohen F. Central serous chorioretinopathy: Recent findings and new physiopathology hypothesis. Prog Retin Eye Res. 2015 Sep;48:82-118. doi: 10.1016/j.preteyeres.2015.05.003. Epub 2015 May 27.
PubMed 26026923Chan WM, Lai TY, Lai RY, Liu DT, Lam DS. Half-dose verteporfin photodynamic therapy for acute central serous chorioretinopathy: one-year results of a randomized controlled trial. Ophthalmology. 2008 Oct;115(10):1756-65. doi: 10.1016/j.ophtha.2008.04.014. Epub 2008 Jun 5.
PubMed 18538401Dansingani KK, Balaratnasingam C, Klufas MA, Sarraf D, Freund KB. Optical Coherence Tomography Angiography of Shallow Irregular Pigment Epithelial Detachments In Pachychoroid Spectrum Disease. Am J Ophthalmol. 2015 Dec;160(6):1243-1254.e2. doi: 10.1016/j.ajo.2015.08.028. Epub 2015 Aug 28.
PubMed 26319161Ng DS, Bakthavatsalam M, Lai FH, Cheung CY, Cheung GC, Tang FY, Tsang CW, Lai TY, Wong TY, Brelen ME. Classification of Exudative Age-Related Macular Degeneration With Pachyvessels on En Face Swept-Source Optical Coherence Tomography. Invest Ophthalmol Vis Sci. 2017 Feb 1;58(2):1054-1062. doi: 10.1167/iovs.16-20519.
PubMed 28195603Bakthavatsalam M, Ng DS, Lai FH, Tang FY, Brelen ME, Tsang CW, Lai TY, Cheung CY. Choroidal structures in polypoidal choroidal vasculopathy, neovascular age-related maculopathy, and healthy eyes determined by binarization of swept source optical coherence tomographic images. Graefes Arch Clin Exp Ophthalmol. 2017 May;255(5):935-943. doi: 10.1007/s00417-017-3591-3. Epub 2017 Feb 1.
PubMed 28150038Lai FH, Ng DS, Bakthavatsalam M, Chan VC, Young AL, Luk FO, Tsang CW, Brelen ME. A Multicenter Study on the Long-term Outcomes of Half-dose Photodynamic Therapy in Chronic Central Serous Chorioretinopathy. Am J Ophthalmol. 2016 Oct;170:91-99. doi: 10.1016/j.ajo.2016.07.026. Epub 2016 Aug 9.
PubMed 27519561Lai TY, Chan WM, Li H, Lai RY, Liu DT, Lam DS. Safety enhanced photodynamic therapy with half dose verteporfin for chronic central serous chorioretinopathy: a short term pilot study. Br J Ophthalmol. 2006 Jul;90(7):869-74. doi: 10.1136/bjo.2006.090282. Epub 2006 Apr 5.
PubMed 16597666Chan WM, Lai TY, Lai RY, Tang EW, Liu DT, Lam DS. Safety enhanced photodynamic therapy for chronic central serous chorioretinopathy: one-year results of a prospective study. Retina. 2008 Jan;28(1):85-93. doi: 10.1097/IAE.0b013e318156777f.
PubMed 18185143van Dijk EHC, Fauser S, Breukink MB, Blanco-Garavito R, Groenewoud JMM, Keunen JEE, Peters PJH, Dijkman G, Souied EH, MacLaren RE, Querques G, Downes SM, Hoyng CB, Boon CJF. Half-Dose Photodynamic Therapy versus High-Density Subthreshold Micropulse Laser Treatment in Patients with Chronic Central Serous Chorioretinopathy: The PLACE Trial. Ophthalmology. 2018 Oct;125(10):1547-1555. doi: 10.1016/j.ophtha.2018.04.021. Epub 2018 Jun 14.
PubMed 29776672Li WX, Muyese A, Xie ZT, Liu WH, Zhang B. Validity and reliability of the Chinese version of Morningness/Eveningness Questionnaire- 5 items(MEQ-5) in students of technical schools. Chinese Mental Health Journal. 2016; 6: 406-412.
Study at a glance
From the registry record, last updated by the sponsor on 30 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Central Serous Chorioretinopathy Registry and Pachychoroid Observation and Natural History Study
- ClinicalTrials.gov ID
- NCT05278169
- Acronym / sponsor ID
- CSCR POOH / CSCR POOH
- Conditions
- Central Serous Chorioretinopathy
- Keywords
- Central Serous Chorioretinopathy, Pachychoroid, Optical Coherence Tomography
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 350 participants (estimated)
- Lead sponsor
- Chinese University of Hong KongUniversity, hospital or other
- Study start
- 11 Mar 2022 (actual)
- Primary completion
- 31 Dec 2024 (estimated)
- Study completion
- 31 Dec 2024 (estimated)
- First posted
- 14 Mar 2022 (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.
Objectives:
- To conduct a Natural History Observation Study to characterize the clinical features and progression of Central Serous Chorioretinopathy (CSCR) from the earliest to the vision-threatening stages.
- Collect genetic samples of affected individuals and their families to establish whether there is a genetic basis for the disease.
- To create a Registry of patients affected by CSCR who may agree to be contacted for inclusion in future clinical trials.
- To determine the incidence and risk factors for progression of pachychoroid phenotypes identified from the unaffected fellow eyes of CSCR patients.
Design and subjects:
Observation, non-interventional study with prospective follow-up for 2 years. The study aims to enroll 350 patients with CSCR (100 from Hong Kong Eye Hospital, 80 from Prince of Wales Hospital and Alice Ho Miu Ling Nethersole Hospital, and 170 from Chinese University of Hong Kong (CUHK) Eye Centre at Hong Kong Eye Hospital).
Study instruments:
Functional tests include visual acuity and microperimetry. Retinal imaging with non-invasive ultra-widefield colour fundus camera, fundus autofluorescence (FAF) and optical coherence tomography (OCT). Questionnaires for risk factor profiling and quality of life assessment. Blood specimen will be collected for genetic testing if found to have a clinical diagnosis of CSCR as determined at CUHK Eye Centre at Hong Kong Eye Hospital.
Main outcome measures:
The primary outcome will be longitudinal alteration of retinal pigment epithelium defects on FAF, spectral domain (SD) OCT and infrared imaging. The secondary outcomes are: 1) progressive attenuation of outer nuclear layer (ONL), external limiting membrane (ELM) and ellipsoid zone (EZ) on SD OCT, 2) longitudinal changes of subfoveal choroidal thickness on swept source (SS) OCT, 3) incidence and onset of intraretinal cysts, 4) incidence and onset of type 1 choroidal neovascularization, 5) rate of choriocapillaris non- perfusion on SS OCT angiography (OCTA), 6) rate of loss of retinal sensitivity using microperimetry tests, 7) rate of visual acuity loss, 8) epidemiology of risk factors associated with CSCR, 9) identification of genes and the genetic variants that are associated with susceptibility to CSCR and 10) documentation of the clinical course of serous retinal detachment recurrence(s), persistence and resolution.
Detailed description
Significance and Applications of Study Results:
- The proposed study will determine comprehensive clinical characterization of a large cohort of 350 CSCR patients with novel, non-invasive imaging techniques to examine the ultrastructure of the choroid and retina to detect subtle changes that are not visible through routine eye check and conventional fundoscopy examination.
II) To understand the pathophysiology of CSCR through studying ultrastructural changes of chorioretina and genotypes.
III) Longitudinal data from this study will determine CSCR progression risks and treatment outcomes. Our large CSCR database will be a unique, large cohort study with robust clinical and molecular characterizations. This knowledge could help to develop realistic and effective diagnostic tests and individualized treatments for CSCR, and aid in the design of future clinical trials.
Data analysis:
Statistical analyses will be conducted using standard statistical software (SPSS, STATA). The investigators will use a variety of statistical techniques for analysis. Unless otherwise specified, all statistical tests will be two-sided with a 0.05 level of significance. All confidence intervals will be two-sided with 95% confidence level. Categorical variables will be presented as the number and percentage of patients in each category. Continuous variables will be summarized using descriptive statistics such as n, mean, standard deviation, median, minimum, and maximum.
Descriptive statistics will be provided for patient demographics and baseline characteristics. Other relevant baseline information will be listed and summarized as appropriate with descriptive statistics.
An independent committee will review the data and safety of the study. Adequate records will be maintained and made available for audit / inspection. All study documents will be kept for a period of at least three years after study closure.
Significant Differences from Usual Management:
- The study is a prospective natural history observation study and the protocol requires a total of 5 visits (in addition to routine care) to the CUHK Eye Centre at Hong Kong Eye Hospital for a duration of 2 years.
- Blood taking will only be performed during the first (baseline) visit for genetic study.
Methods:
For Visit 1 (Baseline, Month 0):
- Demography and Past medical history (1.1. Medical history, 1.2. Drugs history, 1.3. Blood pressure (BP) and Body-mass index (BMI) measurements, 1.4. Previous fluorescein and indocyanine green angiography images (if available) will be reviewed)
- Visual function, intraocular pressure and ocular biometry (2.1. Best corrected visual acuity, 2.2. Autorefraction, 2.3. Axial length measurement, 2.4. Fundus Autofluorescence, 2.5. Macular Spectral Domain Optical Coherence Tomography (SD-OCT) 2.6. Ultra-widefield color fundus photography and autofluorescence, 2.7. Macular Swept Source Optical Coherence Tomography (SS-OCT), 2.8. OCT angiography, 2.9. Microperimetry)
- Sleep quality, mood and quality of life questionnaires (3.1. Morningness and Eveningness Questionnaire, 3.2. Pittsburgh Sleep Quality Index (PSQI), 3.3. Insomnia Severity Index (ISI), 3.4. Epworth Sleepiness Scale (ESS), 3.5. General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) questionnaires, 3.6. National Eye Institute Visual Functioning Questionnaire - 25 (NEI-VFQ-25) quality of life questionnaire)
- Blood taking for genetic study
For Visit 2 (Month 6) to Visit 5 (Months 24):
1.1 to 1.4 will be reviewed for any updates. The eye investigations that will be repeated are: 2.1, 2.4 - 2.9 The questionnaires that will be repeated are: 3.5 - 3.6 (only during Visits 3 and 5)
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Target follow-up
- 2 Years
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The study aims to enrol a total of 350 patients with CSCR, of which: * 170 subjects from a previous cross-sectional observation study titled 'The Association of Sleep Disturbances and Maculopathy' (IRB / REC No.: 2018.158) at the CUHK Eye Centre. * An addition of 180 subjects will be recruited during the proposed study duration. Of the 180 new recruits, 100 will be recruited from Hong Kong Eye Hospital and CUHK Eye Centre.The remaining 80 subjects will be recruited from Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital and Alice Ho Miu Ling Nethersole Hospital.
Key inclusion criteria (5 listed)
- Presence or evidence of prior serous retinal detachment documented on OCT involving the posterior pole unrelated to another disease process.
- At least 1 area of retinal pigment epithelium (RPE) alteration on FAF, SD-OCT, or infrared imaging.
- Subfoveal choroidal thickness (SFCT) of 300μm or more on SD enhanced depth imaging (EDI) OCT or SS-OCT for at least one eye.
- Patient 18 years or older.
- Willing to undergo pupil dilation, and protocol-required procedures for both eyes.
Key exclusion criteria (3 listed)
- Other maculopathy on clinical examination such as age-related macular degeneration (AMD).
- Media opacity such as cataract that could interfere with adequate acquisition of fundal images.
- Pregnant or nursing women.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Longitudinal change of retinal pigment epithelium defects on Fundus Autofluorescence (FAF) from baseline and between visits.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Fundus Autofluorescence - performed using Spectralis (Heidelberg Engineering, Heidelberg, Germany) to acquire 35 degree and 55 degree image centred on the fovea.
Longitudinal change of retinal pigment epithelium defects on Spectral Domain Optical Coherence Tomography (SD-OCT) from baseline and between visits.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Macular Spectral Domain Optical Coherence Tomography (SD-OCT) - performed using Spectralis (Heidelberg Engineering, Heidelberg, Germany) to acquire a 6x6 mm cube comprising of 97 retinal scans centred on the fovea.
Longitudinal change of retinal pigment epithelium defects on infrared imaging from baseline and between visits.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Ultra-widefield color fundus photography and autofluorescence (Optos PLC, Dunfermline, UK) - performed to capture 240 degree image centred on the fovea.
43 secondary outcomes
Progressive attenuation of outer nuclear layer (ONL), external limiting membrane (ELM) and ellipsoid zone (EZ) on SD-OCT.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Changes of subfoveal choroidal thickness on swept source optical coherence tomography (SS-OCT).
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Incidence of intraretinal cysts.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Onset of intraretinal cysts.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Incidence of type 1 choroidal neovascularization.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Onset of type 1 choroidal neovascularization.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Changes of choriocapillaris non-perfusion on SS OCT angiography (OCTA).
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Changes of retinal sensitivity using microperimetry tests.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Visual acuity changes.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of medical history with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of oral corticosteroids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of intravenous corticosteroids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of intravitreal corticosteroids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of periocular corticosteroids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of intranasal corticosteroids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of intra-articular corticosteroids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of epidural corticosteroids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of dermal corticosteroids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of antacids with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of antihistamines with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of nasal sprays that contain pseudoephedrine and oxymetazoline with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of use of phosphodiesterase-5 inhibitors with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of blood pressure (BP) with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of body-mass index (BMI) with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of previous findings in fluorescein and indocyanine green angiography images with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of best corrected visual acuity with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of autorefraction with CSCR.
Time frame: At baseline (Month 0).
Epidemiological association of axial length measurement with CSCR.
Time frame: At baseline (Month 0).
Epidemiological association of findings in Fundus Autofluorescence with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in Macular Spectral Domain Optical Coherence Tomography (SD-OCT) with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in ultra-widefield color fundus photography and autofluorescence with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in Macular Swept Source Optical Coherence Tomography (SS-OCT) with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in OCT angiography with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of findings in microperimetry with CSCR.
Time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.
Epidemiological association of morningness - eveningness choronotype with CSCR.
Time frame: At baseline (Month 0).
Epidemiological association of sleep quality with CSCR.
Time frame: At baseline (Month 0).
Epidemiological association of severity of insomnia with CSCR.
Time frame: At baseline (Month 0).
Epidemiological association of excessive daytime sleepiness with CSCR.
Time frame: At baseline (Month 0).
Epidemiological association of anxiety with CSCR.
Time frame: At baseline (Month 0), Month 12 and Month 24.
Epidemiological association of depression with CSCR.
Time frame: At baseline (Month 0), Month 12 and Month 24.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Aug 2023.
- Background: PubMed 23826160Tsai DC, Chen SJ, Huang CC, Chou P, Chung CM, Huang PH, Lin SJ, Chen JW, Chen TJ, Leu HB, Chan WL. Epidemiology of idiopathic central serous chorioretinopathy in Taiwan, 2001-2006: a population-based study. PLoS One. 2013 Jun 24;8(6):e66858. doi: 10.1371/journal.pone.0066858. Print 2013.
- Background: PubMed 18166410Kitzmann AS, Pulido JS, Diehl NN, Hodge DO, Burke JP. The incidence of central serous chorioretinopathy in Olmsted County, Minnesota, 1980-2002. Ophthalmology. 2008 Jan;115(1):169-73. doi: 10.1016/j.ophtha.2007.02.032.
- Background: PubMed 26026923Daruich A, Matet A, Dirani A, Bousquet E, Zhao M, Farman N, Jaisser F, Behar-Cohen F. Central serous chorioretinopathy: Recent findings and new physiopathology hypothesis. Prog Retin Eye Res. 2015 Sep;48:82-118. doi: 10.1016/j.preteyeres.2015.05.003. Epub 2015 May 27.
- Background: PubMed 18538401Chan WM, Lai TY, Lai RY, Liu DT, Lam DS. Half-dose verteporfin photodynamic therapy for acute central serous chorioretinopathy: one-year results of a randomized controlled trial. Ophthalmology. 2008 Oct;115(10):1756-65. doi: 10.1016/j.ophtha.2008.04.014. Epub 2008 Jun 5.
- Background: PubMed 26319161Dansingani KK, Balaratnasingam C, Klufas MA, Sarraf D, Freund KB. Optical Coherence Tomography Angiography of Shallow Irregular Pigment Epithelial Detachments In Pachychoroid Spectrum Disease. Am J Ophthalmol. 2015 Dec;160(6):1243-1254.e2. doi: 10.1016/j.ajo.2015.08.028. Epub 2015 Aug 28.
- Background: PubMed 28195603Ng DS, Bakthavatsalam M, Lai FH, Cheung CY, Cheung GC, Tang FY, Tsang CW, Lai TY, Wong TY, Brelen ME. Classification of Exudative Age-Related Macular Degeneration With Pachyvessels on En Face Swept-Source Optical Coherence Tomography. Invest Ophthalmol Vis Sci. 2017 Feb 1;58(2):1054-1062. doi: 10.1167/iovs.16-20519.
- Background: PubMed 28150038Bakthavatsalam M, Ng DS, Lai FH, Tang FY, Brelen ME, Tsang CW, Lai TY, Cheung CY. Choroidal structures in polypoidal choroidal vasculopathy, neovascular age-related maculopathy, and healthy eyes determined by binarization of swept source optical coherence tomographic images. Graefes Arch Clin Exp Ophthalmol. 2017 May;255(5):935-943. doi: 10.1007/s00417-017-3591-3. Epub 2017 Feb 1.
- Background: PubMed 27519561Lai FH, Ng DS, Bakthavatsalam M, Chan VC, Young AL, Luk FO, Tsang CW, Brelen ME. A Multicenter Study on the Long-term Outcomes of Half-dose Photodynamic Therapy in Chronic Central Serous Chorioretinopathy. Am J Ophthalmol. 2016 Oct;170:91-99. doi: 10.1016/j.ajo.2016.07.026. Epub 2016 Aug 9.
- Background: PubMed 16597666Lai TY, Chan WM, Li H, Lai RY, Liu DT, Lam DS. Safety enhanced photodynamic therapy with half dose verteporfin for chronic central serous chorioretinopathy: a short term pilot study. Br J Ophthalmol. 2006 Jul;90(7):869-74. doi: 10.1136/bjo.2006.090282. Epub 2006 Apr 5.
- Background: PubMed 18185143Chan WM, Lai TY, Lai RY, Tang EW, Liu DT, Lam DS. Safety enhanced photodynamic therapy for chronic central serous chorioretinopathy: one-year results of a prospective study. Retina. 2008 Jan;28(1):85-93. doi: 10.1097/IAE.0b013e318156777f.
- Background: PubMed 29776672van Dijk EHC, Fauser S, Breukink MB, Blanco-Garavito R, Groenewoud JMM, Keunen JEE, Peters PJH, Dijkman G, Souied EH, MacLaren RE, Querques G, Downes SM, Hoyng CB, Boon CJF. Half-Dose Photodynamic Therapy versus High-Density Subthreshold Micropulse Laser Treatment in Patients with Chronic Central Serous Chorioretinopathy: The PLACE Trial. Ophthalmology. 2018 Oct;125(10):1547-1555. doi: 10.1016/j.ophtha.2018.04.021. Epub 2018 Jun 14.
- BackgroundLi WX, Muyese A, Xie ZT, Liu WH, Zhang B. Validity and reliability of the Chinese version of Morningness/Eveningness Questionnaire- 5 items(MEQ-5) in students of technical schools. Chinese Mental Health Journal. 2016; 6: 406-412.
- 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.
Danny Siu-Chun Ng, FHKAM(Ophth) principal investigator
Chinese University of Hong Kong
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Central Serous Chorioretinopathy, run by Chinese University of Hong Kong at 3 sites in Hong Kong.
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 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: status not confirmed, as of the sponsor's last update on 30 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Hong Kong. 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?
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?
Longitudinal change of retinal pigment epithelium defects on Fundus Autofluorescence (FAF) from baseline and between visits. (time frame: At baseline (Month 0), Month 6, Month 12, Month 18 and Month 24.). The study lists 3 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 NCT05278169, which also lists 12 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 30 Aug 2023.