Evidence map›Paper›PMID 29199012›Full record

Trial reportAmerican journal of ophthalmology2018

Choroidal Changes After Suprachoroidal Injection of Triamcinolone Acetonide in Eyes With Macular Edema Secondary to Retinal Vein Occlusion.

Alex S Willoughby, Vivian S Vuong, David Cunefare, Sina Farsiu, Glenn Noronha, Ronald P Danis, Glenn Yiu

Open access · greenAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  15. Gene Therapy to the Retina and the Cochlea.Frontiers in neuroscience · 2021
    Review
  16. Article
  17. Article
  18. Article
  19. Long-term Evolution and Remodeling of Soft Drusen in Rhesus Macaques.Investigative ophthalmology & visual science · 2020
    Article
  20. CRISPR Technology for Ocular Angiogenesis.Frontiers in genome editing · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Alex S WilloughbyDepartment of Ophthalmology and Vision Science, University of California, Davis, Sacramento, California.
Vivian S VuongDepartment of Ophthalmology and Vision Science, University of California, Davis, Sacramento, California.
David CunefareDepartment of Biomedical Engineering, Duke University, Durham, North Carolina.
Sina FarsiuDepartment of Biomedical Engineering, Duke University, Durham, North Carolina.
Glenn NoronhaClearside Biomedical, Inc, Alpharetta, Georgia.
Ronald P DanisDepartment of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin.
Glenn YiuDepartment of Ophthalmology and Vision Science, University of California, Davis, Sacramento, California. Electronic address: gyiu@ucdavis.edu.
University of California, Davis · USDuke University · USClearside Biomedical (United States) · USUniversity of Wisconsin–Madison · US

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
UC Davis Clinical and Translational Science CenterUL1TR000002 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2012 to 2015
$12.2M
A nanoparticle platform for targeted delivery of therapeutic agents to retinal pigment epithelial or choroidal endothelial cellsK08EY026101 · NEI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI YIU, GLENN · 2016 to 2020
$1.0M
NCATS NIH HHS UL1 TR000002NEI NIH HHS K08 EY026101NEI NIH HHS P30 EY005722
6 · The paper itself

Abstract

purposeTo evaluate choroidal and suprachoroidal changes following suprachoroidal injection of triamcinolone acetonide injectable suspension (CLS-TA), in eyes with macular edema due to retinal vein occlusion (RVO).

designProspective cohort study within a randomized, controlled phase 2 clinical trial.

methodsEnhanced depth imaging optical coherence tomography (EDI-OCT) images were analyzed from 38 eyes of 38 treatment-naïve patients with macular edema due to RVO, enrolled in the prospective Suprachoroidal Injection of Triamcinolone Acetonide with Intravitreal Aflibercept in Subjects with Macular Edema Due to Retinal Vein Occlusion (TANZANITE) study who received either a suprachoroidal injection of CLS-TA with an intravitreal injection of aflibercept (combination arm) or only an intravitreal injection of aflibercept (monotherapy arm), followed by monthly intravitreal aflibercept injections in both arms based on pro re nata criteria.

resultsMacular choroidal thickness measured to the outer choroidal vessel lumen (vascular choroidal thickness, VCT), outer choroid stroma (stromal choroidal thickness, SCT), or inner scleral border (total choroidal thickness, TCT) showed no significant changes over 3 months in both study arms (P = .231-.342). Eyes that received combination therapy showed a trend toward thickening of the suprachoroidal space (SCS) compared with monotherapy alone (13.4 μm vs 5.3 μm at 3 months; P = .077). In the 15 eyes that demonstrated a visible SCS at baseline, the SCS expanded significantly after suprachoroidal CLS-TA injection (16.2 μm to 27.8 μm at 3 months; P = .033).

conclusionsSuprachoroidal injection of CLS-TA does not alter choroidal thickness in eyes with macular edema due to RVO, but may result in expansion of the SCS.

Indexed as

Visual AcuityAdultAgedAged, 80 and overChoroidDose-Response Relationship, DrugDrug Therapy, CombinationFemaleFollow-Up StudiesGlucocorticoidsHumansIntravitreal InjectionsMacula LuteaMacular EdemaMaleMiddle AgedafliberceptGlucocorticoidsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsTriamcinolone Acetonide

Identifiers

PMID29199012
PMCPMC5805638
OpenAlexW2774794858

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.