The IAI-OCTA Study; a Study of OCT-Angiography Analysis Efficacy
Condition: Wet Macular Degeneration
MeSH terms: Macular Degeneration; Wet Macular Degeneration
Intervention: Aflibercept Ophthalmic; optovue angiovue
Intervention description: IAI given for active exudative macular degeneration (CNV, SRF, PED) per SOC; FDA approved Optovue Angiovue will be used to monitor progression and responsiveness of active exudative macular degeneration to IAI.
Intervention MeSH terms: Aflibercept
Phase: Phase 4
Study type: Interventional
Primary purpose: Other
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 26.0
Sex: All
Minimum age: 50 Years
Healthy volunteers: No

Summary:

      A study investigating the ability of OCTA imaging technology to identify and analyze
      untreated type 1, 2, and 3 neovascular membrane lesions in treatment naive patients with
      exudative macular degeneration, as well as investigating the ability of the OCTA imaging
      technology to evaluate the treatment outcomes of Intravitreal Aflibercept Injection in
      neovascular lesions associated with macular degeneration.

      This study is utilizing a new, FDA approved, non-standard of care technology (OCT-Angiography
      by Optovue) to image and evaluate the treatment outcomes of using standard of care
      Intravitreal Aflibercept Injections for their approved use in patients diagnosed with
      neovascular AMD who are naive to previous Anti-VEGF therapies.
    

Eligibility criteria:

        Inclusion Criteria:

          1. Subject is older than 50 years of age.

          2. Subject is willing to participate in the study and able to follow the study criteria
             and protocol.

          3. The study eye is treatment naive regarding treatment of neovascular AMD.

          4. Subject is willing and able to comply with clinic visits and study-related procedures.

          5. Subject is able to provide signed informed consent.

          6. Subject is able to understand and complete study-related questionnaires.

          7. The subject is not currently involved with any other clinical study.

          8. Best Corrected Visual Acuity (BCVA) with ETDRS Snellen equivalent of 20/400 or better
             and 20/32 or worse.

          9. Sufficiently clear media (cornea, anterior chamber, lens, vitreous) for OCT, FA and
             fundus photography (FP).

         10. Intraocular pressure (IOP) of 25mmHg or less in the study eye, with or without use of
             ocular hypotensive agents.

         11. Prior focal corticosteroid treatment is allowed, as long as the study eye is not
             involved. However prior (within 90 days of Day 0) or current systemic corticosteroid
             therapy (oral or intravenous corticosteroid treatment) is not permitted.

        Exclusion Criteria:

          1. Any prior treatment of neovascular AMD in the eye proposed for enrollment including
             previous anti-vascular endothelial factor (anti-VEGF) therapy, photodynamic therapy
             (PDT), radiation therapy, corticosteroid treatment, surgical treatment for CNV,
             thermal laser treatment, and any other prior intravitreal treatment for neovascular
             AMD (except minerals and vitamins).

          2. Known serious allergies to aflibercept, fluorescein dye, Indocyanine Green (ICG),
             shellfish, drugs for pupillary dilation, topical anesthetic, or sterilizing solution
             (e.g. Betadine Solution).

          3. Prior or current systemic anti-VEGF therapy.

          4. Pregnant or breast-feeding women.

          5. Sexually active men* or women of childbearing potential** who are unwilling to
             practice adequate contraception during the study (adequate contraceptive measures
             include stable use of oral contraceptives or other prescription pharmaceutical
             contraceptives for 2 or more menstrual cycles prior to screening; intrauterine device
             [IUD]; bilateral tubal ligation; vasectomy; condom plus contraceptive sponge, foam, or
             jelly, or diaphragm plus contraceptive sponge, foam, or jelly).

          6. Contraindication to pupillary dilation in study eye.

          7. Any condition (including inability to read visual acuity charts, or language barrier)
             that may preclude subjects ability to comply with the study protocol and requirements.

          8. Presence of any advanced systemic condition or end-stage disease, such as advanced
             Alzheimer Syndrome, end-stage cancer, etc., which will likely prevent subject from
             completing study.

          9. Previous therapeutic radiation in the region of the study eye.

         10. Prior retinal pigment epithelial (RPE) tear in study eye.

         11. Prior ocular surgery (except YAG laser capsulotomy) for study within the past 90 days.

         12. Anticipated ocular surgery (except YAG laser capsulotomy) for the next 12 months.

         13. Prior vitrectomy in the study eye.

         14. Presence of any causes of CNV and PED other than due to AMD or presence of ocular
             disease other than AMD affecting study eye, i.e. presumed ocular histoplasmosis
             syndrome, android streaks, pathologic myopia