Blogs

Gene Therapy in Ophthalmology Update 11: Clinical Trial Details

2012/05/18
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I have found fifteen gene therapy clinical trials underway to treat various eye disorders. In thinking about this, I wondered how many patients had been treated to date in these clinical trials. Not able to find this information, I decided to undertake the task of obtaining the information by asking the people running the trials.

This resulted in this new table, Table 3 Gene Therapy in Ophthalmologly - Ongoing Clinical Trial Details.

I have visited each National Clinical Trial (NCT) site, derived the pertinent information, and placed it into the table.

I then requested the number of patients treated (Read more...)

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Fake Avastin Hits United States…Again

2012/05/17
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Fake Avastin has now hit the US market twice in recent months. Are you getting bogus Avastin for your wet ARMD?

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Iluvien Gains Ground

2012/05/09
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Iluvien receives further European approval for the treatment of diabetic macular edema. It has yet to be approved in the U.S. Iluvien is an injected sustained release system.

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Stem Cells in Ophthalmology Update 20: ACT Adds Mass Eye & Ear as Fourth Clinical Site for Dry AMD Trials

2012/05/02
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As announced this morning, Advanced Cell Technology said that Mass Eye & Ear Infirmary had received IRB approval to become the fourth clinical site for ACT’s embryonic stem cell trials in treating the dry form of age-related macular degeneration.

Harvard’s Mass Eye & Ear joins UCLA’s/Jules Stein, Wills Eye Institute, and Bascom Palmer in the ongoing Phase I/II clinical trial using subretinal injections of embryonic stem cell-derived retinal pigment epithelial cells.

In addition, it is my understanding that Moorfields Eye Hospital in London is awaiting final approval of an IND application to also participate in ACT’s clinical trial for dry (Read more...)

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CATT Update 16: Two-year Results Published in Ophthalmology – No Significant Difference Found Between Avastin and Lucentis

2012/04/30
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For those of you who have been following my writings on Avastin vs. Lucentis and on the CATT Study, the two-year results comparing Avastin to Lucentis have just been published in Ophthalmology (1) and no significant differences between either the two drugs or dosing patterns (once monthly or as needed) has been found.

As illustrated in the graphic below, the results for monthly treatments were slightly better than when injected as needed but, as the study’s authors noted, "Both drugs were highly effective regardless of the approach to dosing. There was slightly less vision gain with as-needed treatment. Patients seeking (Read more...)

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Social Media RoundTable and Article on Doctors’ Transparency

2012/04/25
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We just got back from Chicago where we discussed what we've learned on social media and medicine. I also had an article published at KevinMD.com

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Iluvien Update 6: First European Marketing Approval Obtained

2012/04/24
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While U.S. marketing approval appears to be out of reach for Alimera and pSivida for Iluvien for the sustained release treatment of diabetic macular edema, the first of six expected approvals for Europe has been obtained. The companies announced that the Austrian Agency for Health and Food Safety (Österreichische Agentur für Gesundheit und Ernährungssicherheit, AGES) had granted marketing authorization to Iluvien for the treatment of vision impairment associated with chronic diabetic macular edema (DME) considered insufficiently responsive to available therapies.

The Austrian authorization is the first national approval in the EU. Additional Concerned Members States (CMS) marketing authorizations are expected (Read more...)

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Retinitis Pigmentosa Update: Three Blind Mice – Let There Be Sight!

2012/04/20
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In a potential breakthrough, especially for those suffering from retinitis pigmentosa who have lost vision due to degenerated photoreceptors in their retina, scientists from the University College of London (UCL) Institute of Ophthalmology have managed to transfer immature (or progenitor) rod-photoreceptor cells – cells that are more developed than stem cells, but not quite mature rod cells – from healthy mice into those suffering from deficiencies in photoreceptors (blind mice) and, after a few weeks, have found that the transplanted cells appeared to be functioning almost as well as normal rod-photoreceptor cells and had formed the connections needed to transmit (Read more...)

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This Doctor’s View on Social Media and Medicine

2012/04/19
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We're off to Chicago this weekend to participate on a roundtable to discuss what I've learned from this blog and social media.

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A Searchable Archive of Medical/Surgical/Cosmetic Laser Business and Technology News for 1996-2005

2012/04/14
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Medical Laser Business and Technology News Archive

Archive of Medical/Surgical/Cosmetic Laser Business and Technology News for 1996 - 2005

As with the archive of Ophthalmic Laser Business and Technology News, previously posted on this site (link: http://tinyurl.com/ophthalarchives), I also compiled an archive for the Medical/Sugical/Cosmetic Laser Business and Technology News.

For over ten years, from the Fall of 1995 until December 2005, I wrote and published the monthly Executive Laser Briefing (ELB) newsletter (Figure 1). It was then sold to Trends-in-Medicine and continues to be published as Executive Laser Report (Figure 2).

Figure 1 Executive Laser Briefing

Figure (Read more...)

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A Searchable Archive of Ophthalmic Laser Business and Technology News for 1996-2005

2012/04/11
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Medical Laser Business and Technology News Archive

Archive of Ophthalmic Laser Business and Technology News for 1996-2005


For over ten years, from the Fall of 1995 until December 2005, I wrote and published the monthly Executive Laser Briefing (ELB) newsletter (Figure 1). It was then sold to Trends-in-Medicine and continues to be published as Executive Laser Report (Figure 2).

Figure 1. Executive Laser Briefing

Figure 2. Executive Laser Report

Each issue of ELB contained news releases, analyst reports, and commentary about the various companies and laser technologies making news during that time frame. Each months issue consisted of about 40-50 (Read more...)

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Does Cataract Surgery Cause Macular Degeneration?

2012/04/11
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Sometimes macular degeneration is diagnosed just after successful cataract surgery. These disappointed patients often wonder if AMD is caused by the cataract surgery?

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Stem Cells in Ophthalmology Update 19: ACT Adds Bascom Palmer as Another Clinical Site for Dry AMD Trials

2012/04/04
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In an announcement today, Advanced Cell Technology said that Bascom Palmer Eye Institute had received IRB approval to become the third U.S. clinical site for testing ACT’s human embryonic stem cell-derived retinal pigment epithelial cells in the treatment of dry age-related macular degeneration. Bascom Palmer, one of the country’s premier eye institutes, joins UCLA’s Jules Stein Eye Institute and the Wills Eye Institute as the third U.S. site participating in the clinical trials.

The Bascom Palmer trial will be led by acclaimed retinal specialist Dr. Philip Rosenfeld, the father of the use of Avastin in the treatment of the wet (Read more...)

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Taking a Break

2012/04/04
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Most of the kids are on Spring Break.  Amy and I took a few days off and are not making lots of plans, but, instead, are taking day trips if we can. The two college kids had their respective breaks 2 -3 weeks ago and each have come and gone back to school.  With so [...]

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Regular Examination for Retinal Detachments

2012/03/28
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Routine examination for retinal detachments are usually not worthwhile...even if you had a previous detachment, but if you have symptoms....

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Eye Examination for ARMD: Macular Degeneration

2012/03/22
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Macular degeneration can only be diagnosed when there are symptoms and findings of the disease. Routine examination in normal situations may not be necessary.

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Stem Cells in Ophthalmology Update 18: Stem Cells Inc. Demonstrates That its Human Neural Stem Cells Preserve Vision – Gets FDA Authorization to Initiate Clinical Trial for Dry AMD

2012/03/15
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On January 30, 2012, Stem Cells Inc. announced the publication of preclinical data demonstrating that its proprietary HuCNS-SCr cells (purified human neural stem cells) protect host photoreceptors and preserve vision in an animal model of retinal disease. The preclinical results are highly relevant to human disorders of vision loss, the most notable of which is dry age-related macular degeneration (AMD). The study is available online at and will be featured as the cover article in the February issue of the international peer-reviewed European Journal of Neuroscience.

This research was conducted in collaboration with a team of researchers led by (Read more...)

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When to Get Eye Examinations for Diabetic Retinopathy

2012/03/15
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All patients with diabetes should get checked for diabetic retinopathy at least annually.  This recommendation is supported by the American Academy of Ophthalmology and the American Optometric Association. Diabetic Retinopathy Occurs in Everyone It is likely almost every patient with diabetes will develop some diabetic retinopathy….even if the sugar is well controlled and the A1C [...]

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Gene Therapy in Ophthalmology Update 10: Gene Therapy Research in Dogs Cures X-Linked Retinitis Pigmentosa – Paves the Way for Similar Treatment in Humans

2012/03/14
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Researchers at several universities and laboratories collaborated to treat dogs afflicted with the x-linked form of retinitis pigmentosa, to deliver the therapeutic RPGR gene specifically to the diseased rods and cones, which led to functional and structural recovery. This is the first proof that this condition is treatable in an animal model and the researchers feel the results are promising and relevant for translation to humans afflicted with this disease.

The results have been published in the journal, Proceedings of the National Academy of Sciences.

Here are twin news releases from the University of Pennsylvania and the University of (Read more...)

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NeoVista Update 5: CABERNET Study Did Not Meet Primary Endpoint at Two Years

2012/03/08
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In an unexpected outcome, Dr. Pravin Dugel presented the 2-year results of the CABERNET study, evaluating the use of NeoVista’s VIDION ANV epimacular brachytherapy device at the Bascom Palmer Eye Institute's (BPEI) Angiogenesis, Exudation, and Degeneration 2012 Meeting in Miami on Februay 4th.

As described in the following extensive writeup from Retina Today, the Phase 3, multicenter, prospective, randomized study did not achieve its primary endpoint after two years.

As I have previously written (see Update 4), the device has been commercialized extensively in Europe and the company was hoping that promising results in the CABERNET study would (Read more...)

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