Evidence map›Paper›PMID 31388454›Full record

ArticleInternational journal of retina and vitreous2019

Primary outcomes of the VIDI study: phase 2, double-masked, randomized, active-controlled study of ASP8232 for diabetic macular edema.

Quan Dong Nguyen, Yasir J Sepah, Brian Berger, David Brown, Diana V Do, Alberto Garcia-Hernandez, Sunil Patel, Firas M Rahhal, Yevgeniy Shildkrot, Ronny W Renfurm and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of retina and vitreous, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. A systematic review and meta-analysis of the effect of intravitreal VEGF inhibitors on cardiorenal outcomes.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. The role of VAP-1 in cardiovascular disease: a review.Frontiers in cardiovascular medicine · 2025
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Involvement of Cytokines in the Pathogenesis of Diabetic Macular Edema.International journal of molecular sciences · 2021
    Review
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 2 countries.

Quan Dong Nguyen1Byers Eye Institute, Stanford University School of Medicine, 2370 Watson Court, Suite 200, Palo Alto, CA 94303 USA.
Yasir J Sepah1Byers Eye Institute, Stanford University School of Medicine, 2370 Watson Court, Suite 200, Palo Alto, CA 94303 USA.
Brian BergerRetina Research Center, PLLC, 3705 Medical Parkway, Austin, TX 78705 USA.
David Brown4Retina Consultants of Houston, Houston, TX USA.
Diana V Do1Byers Eye Institute, Stanford University School of Medicine, 2370 Watson Court, Suite 200, Palo Alto, CA 94303 USA.
Alberto Garcia-Hernandez5Formerly With Astellas Pharma Europe BV, Sylviusweg 62, 2333 BE Leiden, The Netherlands.
Sunil Patel6Integrated Clinical Research, LLC, 5441 Health Center Drive, Abilene, TX 79606 USA.
Firas M Rahhal7Retina Vitreous Associates Medical Group, 9001 Wilshire Boulevard, Suite 301, Beverly Hills, CA 90211 USA.
Yevgeniy Shildkrot8University of Virginia, 1300 Jefferson Park Avenue, Charlottesville, VA 22908 USA.
Ronny W Renfurm5Formerly With Astellas Pharma Europe BV, Sylviusweg 62, 2333 BE Leiden, The Netherlands.
VIDI Research Group
Palo Alto University · USAstellas Pharma (Netherlands) · NLAbilene Christian University · USRetina Consultants of Texas · USRetina Vitreous Associates Medical Group · USThe Retina Center · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundASP8232 is a potent and specific small molecule vascular adhesion protein-1 (VAP-1) inhibitor. This study evaluated the effect of ASP8232 on excess retinal thickness when given alone or in combination with ranibizumab in patients with center-involved diabetic macular edema (CI-DME).

methodsThis was a phase 2a, placebo and sham-injection controlled, double-masked, randomized, parallel-group clinical trial. Participants were patients with CI-DME and central subfield thickness (CST) ≥ 375 µm in the study eye as assessed by spectral domain optical coherence tomography. Eligible patients were randomized to (1) daily oral ASP8232 40 mg monotherapy; (2) combination therapy of daily oral ASP8232 40 mg and monthly intravitreal ranibizumab 0.3 mg; or (3) monthly intravitreal ranibizumab 0.3 mg monotherapy. The treatment period was 12 weeks. CST and best corrected visual acuity (BCVA) were assessed at baseline and at Weeks 2, 4, 8, 12, 16 and 24. The primary outcome was the mean percent change from baseline in excess CST at Week 12. Secondary outcomes were BCVA, safety and tolerability, and pharmacokinetic and pharmacodynamic characteristics of ASP8232.

resultsAfter 12 weeks, the mean (95% confidence interval) percent change in excess CST was 11.4% (- 15.0%, 37.8%) in the ASP8232 group, - 61.7% (- 86.1%, - 37.2%) in the ASP8232/ranibizumab group, and - 75.3% (- 94.8%, - 55.8%) in the ranibizumab group. The change from baseline in the two ranibizumab arms was statistically significant (

conclusionsNear complete inhibition of plasma VAP-1 activity with ASP8232 had no effect on CST in patients with CI-DME. Furthermore, combination therapy did not provide additional benefit to treatment with ranibizumab alone, which significantly reduced CST and improved BCVA.

Indexed as

ASP8232Center-involved diabetic macular edemaCentral subfield thicknessClinical trialRanibizumabVAP-1 inhibitor

Identifiers

PMID31388454
PMCPMC6670150
OpenAlexW2966489967

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.