[Efficacy and Safety of A0001 (Brilliant Blue G250) for Internal Limiting Membrane Staining and Peeling: Phase III Investigator-initiated Multicenter Clinical Trial].

Nippon Ganka Gakkai zasshi Pub Date : 2016-06-01
Hiroshi Enaida, Akito Hirakata, Masahito Ohji, Kohji Nishida, Toshiaki Kubota, Nahoko Ogata, Koh-Hei Sonoda, Makiko Uchiyama, Junji Kishimoto, Koji Todaka, Yoichi Nakanishi, Tatsuro Ishibashi
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Abstract

Purpose: To investigate the efficacy and safety of A0001 (brilliant blue G250) for visualization of the internal limiting membrane (ILM) during and after vitrectomy.

Methods: Patients (n = 31) requiring ILM peeling during vitrectomy were enrolled in this clinical trial. After injection of A0001 (range: 0.0625 to 0. 125 mg), the staining grade and the peeling ease of the ILM were evaluated in five steps (levels 0 to 4). The safety of A0001 was investigated for 7 days after surgery.

Results: From the evaluation of a primary endpoint by the Independent Data Monitoring Committee (IDMC) and a secondary endpoint by each surgeon, A0001 was effective in all cases at three or more levels ( ≥ level 2 was defined as effective) for evaluation of the grade of visualization and operating ease. Adverse events occurring in two or more cases included elevated intraocular pressure, eye pain, eye discharges, and retinal bleeding. One serious adverse event was a case of unclosed macular hole after vitrectomy, but the patient recovered after reoperation.

Conclusions: A0001 was effective and safe for visualization of the ILM during vitrectomy, and there was an improvement in ease of operation.

[A0001 (Brilliant Blue G250)用于内限制膜染色和剥离的有效性和安全性:研究者发起的III期多中心临床试验]。
目的:探讨A0001(亮蓝色G250)在玻璃体切除术中及术后显示内限定膜(ILM)的疗效和安全性。方法:对玻璃体切除术中需要剥离ILM的患者(n = 31)进行临床试验。注射后的A0001(范围:0.0625至0。125 mg),分5个步骤(0至4级)评估ILM的染色等级和剥离性。术后7天研究A0001的安全性。结果:从独立数据监测委员会(IDMC)的主要终点和每位外科医生的次要终点的评估来看,A0001在三个或更多级别(≥2级定义为有效)的所有病例中有效,用于评估可视化和操作易用性的等级。两个或两个以上病例发生的不良事件包括眼压升高、眼痛、眼分泌物和视网膜出血。一个严重的不良事件是一例玻璃体切除术后黄斑裂孔未闭合,但患者在再次手术后恢复。结论:A0001用于玻璃体切割术中眼内膜的显像是安全有效的,且操作简便。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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