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Zhuochuming®-3T&E-DME Study (Treatment-naïve Patients)
Sponsor: The Third Peoples Hospital of Dalian
Summary
The goal of this clinical trial is to understand whether Zhuochuming® (Aflibercept Intravitreal Injection) using a 3 loading doses followed by a treat-and-extend regimen (3+T\&E) can treat patients with diabetic macular edema (DME) who have not received prior treatment. It will also evaluate the safety of Zhuochuming®. The main questions it aims to answer are: Can Zhuochuming® using the 3+T\&E regimen improve patients' vision better than the traditional pro re nata (3+PRN) regimen? How much can the macular edema (central retinal thickness) be reduced? What medical problems (ocular or systemic) will participants experience while taking Zhuochuming®? What is the difference in the number of injections needed over one year between the two regimens? Researchers will directly compare Zhuochuming® (3+T\&E regimen) with Zhuochuming® (3+PRN regimen) to see which regimen is more effective and convenient for treating DME. Participants will: Receive treatment and be followed for 52 weeks (about 1 year) First receive 3 injections (one every 4 weeks), and then continue according to their assigned group: T\&E group: Injection intervals are gradually extended (up to 16 weeks) based on disease stability PRN group: Follow-up visits every 4 weeks, with injections given only when needed Visit the clinic at scheduled times (e.g., before each injection or every 4 weeks) for eye examinations (visual acuity, intraocular pressure, OCT, etc.) Undergo regular blood tests (complete blood count, liver function, coagulation function, HbA1c, etc.) Record any discomfort or side effects and report them to the doctor Study population: Patients with diabetic macular edema (DME) who have not received prior treatment, aged ≥18 years, and diagnosed with type 1 or type 2 diabetes. Primary study endpoint: Change in best-corrected visual acuity (BCVA) from baseline at week 52.
Official title: A Prospective, Randomized Controlled, Open-label, Multicenter Clinical Trial of the Efficacy and Safety of Aflibercept Intravitreal Injection (Zhuochuming®) With a 3-month Loading Phase Followed by Treat-and-extend Regimen in Treatment-naïve Patients With Diabetic Macular Edema
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
186
Start Date
2026-06-30
Completion Date
2028-07-31
Last Updated
2026-05-29
Healthy Volunteers
No
Conditions
Interventions
Aflibercept Intravitreous Injection
Experimental:Intravitreal aflibercept 2 mg/0.05 mL (Zhuochuming®), 3 monthly loading doses (W0, W4, W8). From W12: treat-and-extend (T\&E) regimen. Interval extension (by 2-4 weeks, max 16 weeks) if no intraretinal/subretinal fluid on OCT and no worsening criteria. Interval maintenance if fluid persists but decreases. Interval shortening (by 2-4 weeks, min 6 weeks) if new/recurrent fluid, or BCVA loss ≥5 letters with recurrent fluid, or increase in central retinal thickness ≥100 μm. Active Comparator:Intravitreal aflibercept 2 mg/0.05 mL (Zhuochuming®), 3 monthly loading doses (W0, W4, W8). From W12: pro re nata (PRN) regimen with assessments every 4 weeks. Re-injection criteria: central retinal thickness \>250 μm, or increase \>50 μm from previous lowest OCT, or loss of ≥5 ETDRS letters in BCVA accompanied by an increase in CRT.
Locations (1)
The Third Peoples Hospital of Dalian
Dalian, Liaoning, China