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Retinal Vessel Leakage in Cerebral Small Vessel Disease

Sponsor: University of Edinburgh

NCT ID: NCT06416371

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Fundus fluorescein angiography, with ultrawide field retinal imaging (diagnostic test)
How long the study runs
Study runs about 49 months (dates as stated)
About the drug or intervention
Fundus fluorescein angiography, with ultrawide field retinal imaging — diagnostic test: Intravenous injection of sodium fluorescein for angiography of retinal blood vessels
Patient visit burden
Not specified by the sponsor
Type of study
Observing health over time
Ages
18 Years and over
Who
All
Number of participants
40
Started
2025-01-13
Last checked
2026-03

Plain English Summary

What is this study?

  • • Testing a new treatment for cerebral small vessel diseases
  • • Clinical study - 40 participants
  • • The goal of this observational study is to learn about leakage from retinal vessels in cerebral small vessel disease

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with cerebral small vessel diseases

Where?

  • • Edinburgh - NHS Lothian

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The goal of this observational study is to learn about leakage from retinal vessels in cerebral small vessel disease. The main questions it aims to answer are: * Does retinal vessel leakage occur in cerebral small vessel disease? * If it does, is the severity of retinal vessel leakage similar to the severity of cerebral small vessel disease generally? Participants will be tested using fluorescein angiography. This involves an intravenous injection of fluorescent dye, and is a very sensitive way to find leakage from retinal blood vessels. Participants will have already had brain scans and other examinations and tests to measure the severity of their cerebral small vessel disease. Our new retinal images will complement the information from these previous tests.

More detail

Cerebral small vessel disease (SVD) is a common cause of stroke and dementia. The molecular causes are unclear, limiting new therapies. Breakdown of the blood-brain barrier (BBB) is characteristic and may damage brain tissue. However, specialist MRI scans to measure BBB breakdown are expensive and time-consuming. In contrast, measuring leakage from retinal blood vessels is relatively simple. The blood-retina barrier is very similar to the BBB, and SVD is likely to damage retinal and brain blood vessels in the same way. If so, then retinal angiography could be used to study SVD pathogenesis and measure the effect of new treatments with much greater resolution and lower cost than MRI. We have three aims: 1. Test the feasibility of fluorescein angiography in people with SVD 2. Discover if retinal vessel leakage occurs people with SVD 3. Discover whether the severity of retinal vessel leakage is associated with clinical features of SVD We will recruit participants from a well-established cohort of people with SVD - the Mild Stroke Study 3 (MSS3).

Cerebral Small Vessel DiseasesLacunar StrokeVascular Dementia

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓Membership in the Mild Stroke Study 3 cohort
  • ✓Contrast enhanced MRI within 12 months
  • ✓Clear optical media in both eyes, as assessed by study investigator
  • ✓Best corrected visual acuity (near vision) ≥N36

Who cannot take part

  • ✗Any condition known to cause retinal leakage (i.e., worse than background diabetic retinopathy, retinal vein...
  • ✗Previous treatment for retinal leakage (retinal laser, intravitreal anti-VEGF)
  • ✗Recent eye surgery
  • ✗Shallow anterior chambers as assessed by torch test
  • ✗Pregnancy, kidney failure
See the full criteria
Inclusion Criteria: * Membership in the Mild Stroke Study 3 cohort * Contrast enhanced MRI within 12 months * Clear optical media in both eyes, as assessed by study investigator * Best corrected visual acuity (near vision) ≥N36 Exclusion Criteria: * Any condition known to cause retinal leakage (i.e., worse than background diabetic retinopathy, retinal vein occlusion, active uveitis, wet age-related macular degeneration, malignant hypertension) * Previous treatment for retinal leakage (retinal laser, intravitreal anti-VEGF) * Recent eye surgery * Shallow anterior chambers as assessed by torch test * Pregnancy, renal failure * Severe dementia * Known allergy to fluorescein * History of allergy such as food or drug induced urticaria or history of bronchial asthma * Any other severe or acute medical or psychiatric conditions * Inability to give informed consent

Where Is This Study? (1 UK site)

NHS Lothian

Edinburgh, United Kingdom

Recruiting
Site contact (verified)
Ian Maccormickimaccorm@ed.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2026-03