Official Title
Prevention of Retinal Non-perfusion in Central Retinal Vein Occlusion by Hydroxycarbamide Treatment.
Phase
Phase 2Lead Sponsor
CHNO des Quinze-VingtsStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Central Retinal Vein Occlusion, Non-IschemicIntervention/Treatment
hydroxyurea ...Study Participants
30The central retinal vein occlusion (CRVO) is a major cause of ocular morbidity, depending in particular on the occurrence and extent of retinal ischemia by capillary occlusion. There is no effective systemic treatment of this condition. An increase in the adhesion of erythrocytes to vascular endothelium was observed for patients with CRVO, correlated with overexpression of membrane phosphatidylserine
introduction : The central retinal vein occlusion (CRVO) is a major cause of ocular morbidity, depending in particular on the occurrence and extent of retinal ischemia by capillary occlusion. There is no effective systemic treatment of this condition. An increase in the adhesion of erythrocytes to vascular endothelium was observed for patients with CRVO, correlated with overexpression of membrane phosphatidylserine.
Hypothesis : Hydroxycarbamide (HC) by reducing the erythrocyte adhesion to the endothelium may prevent or delay the onset of retinal capillary non-perfusion in patients with CRVO.
Primary objective: To assess the efficacy at 3 months of treatment with HC on retinal capillary perfusion in patients with a recent CRVO.
Secondary Objectives: To evaluate the safety of the treatment, the efficacy to 6 months on retinal perfusion of the treatment with HC (HC peak effect on the red cell adhesion in vitro), and the biological effects of HC, in particular on adhesion to endothelium and erythrocyte hemorheological parameters.
20 mg/kg milligram(s)/kilogram per day during 6 month, oral administration (coated tablet).
Inclusion Criteria: Patients of both sexes of at least 45 years of age. with social protection Presenting CRVO for less than 1 month duration With a decrease of visual acuity and with the best corrected visual acuity lower than 6/10 (73 ETDRS letters) Signature of informed consent Exclusion Criteria: predictable lack of compliance to the protocol monophtalmic patient or any ocular history or condition that could interfere with the study course or results interpretation. active systemic disease sickle cell disease myeloproliferative disease myelosuppression kidney or liver insufficiency ongoing treatment with hydroxycarbamide or anticoagulant Pregnancy, breast-feeding, no efficient contraception (for both sexes) wish of paternity (for males of al least 45 years of age)