Collagen Cross-Linking for Keratoconus/Ectasia With and Without Intacs

NCT ID: NCT01081561

Last Updated: 2018-10-02

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

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-21

Study Completion Date

2021-06-30

Brief Summary

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This study will determine the efficacy of collagen cross linking for progressive keratoconus and ectasia after lasik. It will try and determine which is a more effective treatment: collagen cross linking alone or collagen cross linking combined with Intacs, a treatment which has already been proven to be effective in decreasing corneal curvature in patients with keratoconus.

Detailed Description

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In this study we will attempt to determine whether Collagen Cross Linking alone, one combined with insertion of INTACS is the most effective treatment for patients with progressive keratoconus in patients who have progressive disease.

These treatments have been widely used outside of the United States for the treatment of progressive keratoconus. Corneal Collagen Cross linking was recently approved in the United States for the treatment of progressive keratoconus. We will attempt to study 600 patients total. 300 patients will be assigned to cross linking only while another 300 will be assigned to cross linking and INTACS. Once adequate number of study subjects have been recruited data will be analyzed to determine which treatment is more effective. The following parameters from Topography, OCT and Tomography will be studied(these are Max K(pentacam) Kvalue(Tomey Topography)I-Svalue(Tomey Topography Astigmatism(Tomey Topography) and Min OCT(corneal pachymetry) any one of these metrics that achieve a value of 1 or more will be included in the analysis since the cornea is so irregular that values less than one could be artifact

Conditions

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Keratoconus Ectasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cross-linking

Corneal collagen cross-linking with riboflavin and UVA light

Group Type ACTIVE_COMPARATOR

Riboflavin

Intervention Type DRUG

Removal of the epithelium, riboflavin drops every 2 minutes for 30 minutes follow by UV light radiation and addition riboflavin drops every 2 minutes for 30 minutes. Some subjects will be randomized to recieve INTACS prior to treatment with riboflavin.

Cross-linking plus INTACS

Corneal collagen cross-linking with riboflavin and UVA light plus INTACS

Group Type ACTIVE_COMPARATOR

Riboflavin

Intervention Type DRUG

Removal of the epithelium, riboflavin drops every 2 minutes for 30 minutes follow by UV light radiation and addition riboflavin drops every 2 minutes for 30 minutes. Some subjects will be randomized to recieve INTACS prior to treatment with riboflavin.

Interventions

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Riboflavin

Removal of the epithelium, riboflavin drops every 2 minutes for 30 minutes follow by UV light radiation and addition riboflavin drops every 2 minutes for 30 minutes. Some subjects will be randomized to recieve INTACS prior to treatment with riboflavin.

Intervention Type DRUG

Other Intervention Names

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Peschke Meditrade

Eligibility Criteria

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Inclusion Criteria

* progressive keratoconus or ectasia

Exclusion Criteria

* cornea thinner than 400um
* K readings greater than 60D
* Central corneal scarring
Minimum Eligible Age

21 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yaron S. Rabinowitz M.D.

OTHER

Sponsor Role lead

Responsible Party

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Yaron S. Rabinowitz M.D.

Yaron S Rabinowitz M.D.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Yaron S Rabinowitz, M.D.

Role: PRINCIPAL_INVESTIGATOR

Cornea Genetic Eye Institute

Ezra Maguen, M.D.

Role: PRINCIPAL_INVESTIGATOR

american eye institute

Yuri Oleynikov, M.D. PhD

Role: PRINCIPAL_INVESTIGATOR

Cornea Genetic Eye Institute

James Salz, M.D.

Role: PRINCIPAL_INVESTIGATOR

Laser Eye Associates

Ronald Gaster, MD

Role: PRINCIPAL_INVESTIGATOR

Cornea Eye Institute, Beverly Hills

Locations

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Cornea Eye Institute, 50 North La Cienaga Blvd, #340

Beverly Hills, California, United States

Site Status

Countries

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United States

Other Identifiers

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#20090780

Identifier Type: -

Identifier Source: org_study_id

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