Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 to 80

Mecobalamin plus anti-VEGF injections for retinal vein occlusion with macular edema

Official title: Mecobalamin Combined With Anti-VEGF Intravitreal Injection for Treatment Retinal Vein Occlusion: a Double-blind Randomized Controlled Trial

Run by First Affiliated Hospital of Chongqing Medical University · NCT07133438 · Data updated 2026-11-12

This will test whether adding mecobalamin to standard anti-VEGF eye injections helps people with retinal vein occlusion and macular edema improve vision and reduce retinal swelling.

More Retinal Vein Occlusion trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment120 (estimated)
SponsorFirst Affiliated Hospital of Chongqing Medical University
Academic / other
Locations1 site (Chongqing)
StatusRecruiting
StartedAugust 1, 2025
Main results expectedMay 31, 2027
Study endsJuly 31, 2027
Registry record updatedFebruary 27, 2026
Trial IDNCT07133438 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 with treatment‑naive retinal vein occlusion causing macular edema, baseline BCVA between 20/400 and 20/40 (34–78 ETDRS letters), and central subfield thickness ≥300 μm on OCT who can provide informed consent and attend follow‑up are eligible.

Probably not a fit

People with other causes of macular edema (e.g., diabetic retinopathy or uveitis), prior anti‑VEGF/steroid/laser therapy, uncontrolled systemic disease, pregnancy or lactation, or inability to comply with visits are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized, outcome‑blinded, placebo‑controlled Phase 4 trial enrolling 120 treatment‑naive RVO patients at the First Affiliated Hospital of Chongqing Medical University. Participants are randomized 1:1 to receive standard anti‑VEGF intravitreal injections with either mecobalamin or placebo. Key outcomes include changes in best‑corrected visual acuity and retinal thickness measured by OCT, with scheduled follow‑up visits to monitor response and safety. The trial targets both vascular leakage and neural protection by combining anti‑VEGF therapy with a neurotrophic agent.

Why it matters

Potential benefit: If effective, the combination could improve visual recovery, better protect retinal neurons, and potentially reduce the need for frequent anti‑VEGF injections.

How similar studies have gone: Anti‑VEGF therapy is well established for RVO‑ME, but using mecobalamin as an added neuroprotective agent is novel and lacks large randomized proof of benefit to date.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Diagnosis of RVO meeting the international diagnostic criteria 4,12, age 18-80 years, gender not limited Treatment-naive RVO-ME (no prior anti-VEGF, glucocorticoid, or laser therapy) The CST is confirmed to be ≥300μm by OCT The baseline BCVA (ETDRS letter count) was 20/400 to 20/40 (34-78 letters) Signed informed consent and ability to comply with follow-up.

Exclusion Criteria:

Combined with other eye diseases that cause ME (such as diabetic retinopathy, uveitis) Media opacities affecting imaging (such as severe cataract, vitreous hemorrhage) Prior anti-VEGF, steroid, or macular laser therapy Systemic use of glucocorticoids or immunosuppressants within 3 months Uncontrolled systemic disease (hypertension, diabetes, hepatic/renal dysfunction); pregnant or lactating women Allergy to mecobalamin or conbercept Unable to cooperate with examinations or follow-up, or participate in other clinical trials within one year

Where it's running

  • No. 1, Friendship Road, Yuanjiagang, Yuzhong District, Chongqing City
    Chongqing, China
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.