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NCT03811366

Multimodal Analysis and Electroretinogram in VKH From Acute Onset - Part I

Completed NA Results posted Last updated 17 April 2025
What this trial tests

NA trial testing Corticosteroid monotherapy in Uveomeningoencephalitic Syndrome in 12 participants. Completed in 31 January 2017.

Timeline
1 June 2011
Primary endpoint
31 January 2017
31 January 2017

Quick facts

Lead sponsorUniversity of Sao Paulo
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeother
Enrollment12
Start date1 June 2011
Primary completion31 January 2017
Estimated completion31 January 2017
Sites1 location across Brazil

Drugs / interventions tested

Conditions studied

Sponsor

University of Sao Paulo

Who can join

Eligibility, any sex, with Uveomeningoencephalitic Syndrome or Inflammation. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Median Values of ERG Scotopic Parameters at 12-month Primary · assessed at 12-month

Full-field electroretinogram (ERG) scotopic parameters were evaluated at 12 -month (scotopic parameters: amplitude of scotopic a and b wave, amplitude of maximum scotopic a and b wave, oscillatory potential).

Scotopic b amplitude
GroupValue95% CI
Corticosteroid Monotherapy201104 – 352
Maximum scotopic a amplitude
GroupValue95% CI
Corticosteroid Monotherapy210134 – 336
Maximum scotopic b amplitude
GroupValue95% CI
Corticosteroid Monotherapy508328 – 728
Oscillatory potential
GroupValue95% CI
Corticosteroid Monotherapy9248 – 272
Photopic a amplitude
GroupValue95% CI
Corticosteroid Monotherapy4223 – 63
Photopic B amplitude
GroupValue95% CI
Corticosteroid Monotherapy20287 – 312
Flicker
GroupValue95% CI
Corticosteroid Monotherapy5224 – 89
Median Values of ERG Scotopic Parameters at 24-month Primary · assessed at 24-month

Full-field electroretinogram (ERG) scotopic parameters were evaluated at 24 -month (scotopic parameters: amplitude of scotopic a and b wave, amplitude of maximum scotopic a and b wave, oscillatory potential).

Scotopic b amplitude
GroupValue95% CI
Corticosteroid Monotherapy189130 – 380
Maximum scotopic a amplitude
GroupValue95% CI
Corticosteroid Monotherapy189120 – 317
Maximum scotopic b amplitude
GroupValue95% CI
Corticosteroid Monotherapy484336 – 789
Oscillatory potential
GroupValue95% CI
Corticosteroid Monotherapy11435 – 259
Photopic a amplitude
GroupValue95% CI
Corticosteroid Monotherapy4323 – 66
Photopic B amplitude
GroupValue95% CI
Corticosteroid Monotherapy186111 – 345
Flicker
GroupValue95% CI
Corticosteroid Monotherapy5429 – 85
Variation (Worsening or Improvement) Between 24 and 12 Months of ERG Scotopic Parameters Comparing 24 and 12-months Primary · 12 and 24-months

Full-field electroretinogram (ERG) scotopic parameters at 12 and 24 months were compared (scotopic parameters: amplitude of scotopic a and b wave, amplitude of maximum scotopic a and b wave, oscillatory potential). The worsening of the ERG parameters was defined as a value reduction of ≥ 30 % in any these scotopic ERG parameters at month 12 and month 24. We report the change between the (value at month 24/ the value at month 12)\*100.

Scotopic b amplitude
GroupValue95% CI
ERG Stable Group9.5
ERG Worsening Group-32.9
Maximum scotopic a amplitude
GroupValue95% CI
ERG Stable Group7
ERG Worsening Group-21.4
Maximum scotopic b amplitude
GroupValue95% CI
ERG Stable Group2.8
ERG Worsening Group-10.8
Oscillatory potential
GroupValue95% CI
ERG Stable Group5.9
ERG Worsening Group-47.1
Photopic a amplitude
GroupValue95% CI
ERG Stable Group0
ERG Worsening Group-5
Photopic b amplitude
GroupValue95% CI
ERG Stable Group2.4
ERG Worsening Group-13.6
Flicker
GroupValue95% CI
ERG Stable Group6.2
ERG Worsening Group-6.9
Recurrence or Worsening of Cells in Anterior Chamber Secondary · 6 to 24 months from disease onset.

Evaluation of anterior chamber (AC) cells was performed at visits 6 months, 12 months, 18 months and 24 months from disease onset, according to the Standardization of Uveitis Nomenclature´s classification of anterior chamber cells. (Am J Ophthalmol, 2005) Any step increase (fluctuation), when comparing sequential dates of follow up (e.g 6 and 12 months) were considered as one episode of clinical worsening in AC cells

GroupValue95% CI
ERG Stable Group8
ERG Worsening Group0
Increase in the Score of Dark Dots on Indocyanine Green Angiography Secondary · 6 to 24 months from disease onset

Dark dots scores had a maximum value of 8, any increase of 0.5 after 6 months from disease onset will be considered (Int Ophthalmo 2010) Dark dots Score based on pattern of distribution (Sparse/ Numerous) Minimum: 0 (better outcome) Maximum: 8 (worse outcome)

GroupValue95% CI
ERG Stable Group17
ERG Worsening-group5
Change in Subfoveal Choroidal Thickness on Enhanced Depth Optical Coherence Tomography Secondary · 6 to 24 months from disease onset

Increase of 30% or more in choroidal thickness EDI in consecutive exams on horizontal scan

GroupValue95% CI
ERG Stable Group8
ERG Worsening-group4
Change in Perivascular Leakage on Fluorescein Angiography Secondary · 6 to 24 months after disease onset

Perivascular leakage was observed as an increase in hyperfluorescence around retinal vasculature over time on FA exam at midperiphery.

GroupValue95% CI
ERG Stable Group9
ERG Worsening Group4
Choroidal Neovascularization Secondary · 6 to 24 months after disease onset

Choroidal neovascularization was diagnosed when increasingly localized hyperfluorescence at the posterior pole is detected on FA or a hyperreflective subretinal lesion associated with sub or intraretinal fluid on OCT.

GroupValue95% CI
ERG Stable Group2
ERG Worsening Group1
Cataract Secondary · 6 to 24 months after disease onset

Cataract was defined as any lens opacification greater than nuclear or cortical 2+/4 or subcapsular 1+/4

GroupValue95% CI
ERG Stable Group5
ERG Worsening Group0
Ocular Hypertension Secondary · 6 to 24 months after disease onset

Ocular hypertension was defined as an intraocular pressure (IOP) above 21mmHg

GroupValue95% CI
ERG Stable Group7
ERG Worsening Group5

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 and 24 months. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Corticosteroid Monotherapy
Serious: 0/12 (0%)
Deaths: 0/12
Other adverse events (2 terms — click to expand)

ReactionSystemCorticosteroid Monotherapy
Weight gainGeneral disorders
Psychosis/ depressionPsychiatric disorders

Data from ClinicalTrials.gov NCT03811366 adverse events section.

Sponsor's own description

Patients with acute onset Vogt-Koyanagi-Harada disease (VKHD) were prospectively included in this study. They were systematically followed with clinical, posterior segment imaging exams and full-field electroretinogram during a minimum 24-month of follow-up. All patients were treated with 3-day methylprednisolone pulse therapy followed by 1mg/day oral prednisone with a slow tapper during a median of 13 months. Non-steroidal immunosuppressive therapy (IMT) was introduced in cases of refractory disease or in cases of prednisone intolerance. Outcome measured by full-field electroretinogram was analyzed and patient was grouped as electroretinogram stable or electroretinogram worsening. Clinical data was analyzed in these two electroretinogram-based groups.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Full-field electroretinogram (ffERG) over 48 months correlates with baseline retinal dysfunction in Vogt-Koyanagi-Harada disease: a longitudinal study.
    Souto FMS, Missaka RFBG, Lavezzo MM, Sakata VM, et al · · 2026 · PMID 41612097 · DOI 10.1007/s10633-025-10080-9

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