Evaluating Collagen Cross-Linking (CCL) Treatment in Norway

NCT ID: NCT00435799

Last Updated: 2008-06-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2010-01-31

Brief Summary

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The purpose of this study is to assess safety, efficacy and stability of riboflavin-UV induced cross-linking of corneal collagen in reducing the progression of keratecatasia and in improving visual acuity. This is the first Norwegian study concerning CCL.

Detailed Description

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The technique of corneal collagen cross-linking consists of photopolymerization of stromal fibers by combined action of a photosensitizing substance, riboflavin and ultraviolet type A rays (UVA) from a solid-state UVA Source. Photopolymerization increases the rigidity of corneal collagen and its resistance to keratectasia. It has been used to stop progression of keratectasia.

Corneal transplantation has been the only available option so far for treatment for keratectasia in its advanced stage in Norway. The method of CCL using riboflavin and UV light is technically simple and much less invasive than corneal transplantation and it treats and prevents the underlying pathophysiological mechanism. It also does not reduce the chances for a successful corneal transplantation, in case that would still be necessary after CCL.

The purpose of this study is to assess safety, efficacy and stability of riboflavin-UV induced cross-linking of corneal collagen in reducing the progression of keratecatasia and in improving visual acuity. This is the first Norwegian study concerning CCL.

Conditions

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Keratoconus

Keywords

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keratoconus corneal cross-linking riboflavine ultraviolet type A rays (UVA)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Group Type ACTIVE_COMPARATOR

corneal cross-linking (CCL)

Intervention Type PROCEDURE

Riboflavin/dextran eyedrops

Intervention Type DRUG

UV-X system

Intervention Type DEVICE

Interventions

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corneal cross-linking (CCL)

Intervention Type PROCEDURE

Riboflavin/dextran eyedrops

Intervention Type DRUG

UV-X system

Intervention Type DEVICE

Other Intervention Names

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Riboflavine UVX

Eligibility Criteria

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Inclusion Criteria

1. Age from 20 to 45 years
2. Progressive keratectasia (primary or secondary) in an advanced stage
3. Decreased best corrected visual acuity bellow 20/40, which cannot be further improved by use of soft contact lenses
4. Rigid contact lenses are either not tolerated or do not improve visual acuity
5. No previous eye surgery (except for laser refractive surgery)
6. All patients must provide written informed consent to become a study subject
7. Subjects able to return for scheduled follow-up examinations according to this protocol

Exclusion Criteria

1. Corneal thickness \< 400 µm at thinnest position
2. Keratometric - readings above 60 diopters
3. Other active ocular disease than keratectasia
4. Herpes keratitis
5. Previous ocular surgery (other than laser refractive surgery)
6. Patients who were immunocompromised, pregnant or who had atopic syndrome, connective tissue or autoimmune disease
7. Patients with known sensitivity to study medication
8. Subjects with intraocular pressure \> 23 mmHg by Goldmann applanation tonometry, a history of glaucoma, or glaucoma suspects
9. Subjects who intent to participate in other ophthalmic clinical trails during this clinical investigation
Minimum Eligible Age

20 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ullevaal University Hospital

OTHER

Sponsor Role lead

Responsible Party

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University Hospital of North Norway

Principal Investigators

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Aleksandar Stojanovic, MD

Role: PRINCIPAL_INVESTIGATOR

Eye dpt, University Hospital of North Norway

Locations

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Eye dpt, Ullevål University Hospital

Oslo, Oslo County, Norway

Site Status RECRUITING

Eye dpt, University Hospital North Norway

Tromsø, Tromsø, Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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ALEKSANDAR STOJANOVIC, MD

Role: CONTACT

Phone: +47 77 64 79 20

Email: [email protected]

ESPEN F BAKKE, MD

Role: CONTACT

Phone: +47 22118545

Email: [email protected]

Facility Contacts

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Liv Drolsum, Prof MD PhD

Role: primary

Espen F Bakke, MD

Role: backup

Aleksandar Stojanovic, MD

Role: primary

Other Identifiers

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UNN-UUS-CCL07

Identifier Type: -

Identifier Source: org_study_id