Study of the Safety and Effectiveness of Collagen Cross-Linking at an Irradiance of 9 mW/cm2 and 18 mW/cm2

NCT ID: NCT02009709

Last Updated: 2015-12-14

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

PHASE1

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Brief Summary

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The primary objective of this study is to determine the effectiveness and safety of corneal collagen cross-linking at irradiance levels of 9 and 18 mW/cm2.

Detailed Description

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Conditions

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Keratoconus Corneal Ectasia

Keywords

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keratoconus collagen crosslinking crosslinking 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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9 mW/cm2

CCL-VARIO UV lamp Riboflavin 0.1% ophthalmic solution

Group Type ACTIVE_COMPARATOR

Riboflavin 0.1% ophthalmic solution

Intervention Type DRUG

Instillation of 0.1% riboflavin ophthalmic solution, one drop every 3 minutes for 30 minutes before the procedure and one drop every 3 minutes during the procedure.

CCL-VARIO UV lamp

Intervention Type DEVICE

Application of ultraviolet light on the eye to be treated at an irradiance of 9 mW/cm2 for 10 minutes

18 mW/cm2

CCL-VARIO at 18 mW/cm2 Riboflavin 0.1% ophthalmic solution

Group Type ACTIVE_COMPARATOR

Riboflavin 0.1% ophthalmic solution

Intervention Type DRUG

Instillation of 0.1% riboflavin ophthalmic solution, one drop every 3 minutes for 30 minutes before the procedure and one drop every 3 minutes during the procedure.

CCL-VARIO at 18 mW/cm2

Intervention Type DEVICE

Application of ultraviolet light on the eye to be treated at an irradiance of 18 mW/cm2 for 5 minutes.

Interventions

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Riboflavin 0.1% ophthalmic solution

Instillation of 0.1% riboflavin ophthalmic solution, one drop every 3 minutes for 30 minutes before the procedure and one drop every 3 minutes during the procedure.

Intervention Type DRUG

CCL-VARIO UV lamp

Application of ultraviolet light on the eye to be treated at an irradiance of 9 mW/cm2 for 10 minutes

Intervention Type DEVICE

CCL-VARIO at 18 mW/cm2

Application of ultraviolet light on the eye to be treated at an irradiance of 18 mW/cm2 for 5 minutes.

Intervention Type DEVICE

Other Intervention Names

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CXL CCL crosslinking CXL CCL crosslinking CXL CCL crosslinking

Eligibility Criteria

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Inclusion Criteria

Prospective subjects must meet all of the following criteria to be eligible for participation:

* 18 years of age or older
* Signed written informed consent
* Willingness and ability to comply with schedule for follow-up visits
* Contact lens removal prior to evaluation and treatment


Prospective subjects must meet two of the following criteria:

* Having a diagnosis of progressive keratoconus:
* An increase of ≥ 1.00 D in the steepest keratometry value
* An increase of ≥ 1.00 D in astigmatism manifest refraction
* A myopic shift (decrease in the spherical equivalent) of ≥ 0.50 D on subjective manifest refraction
* Presence of central or inferior steepening on the Pentacam map.
* Axial topography consistent with keratoconus
* Steepest keratometry (Kmax) value ≥ 47.00 D


Prospective subjects must meet the following criteria:

* History of having undergone a keratorefractive procedure
* Meeting two of the following criteria
* Steepening by topography, either Pentacam or Humphrey
* Thinning of cornea
* Shift in the position of thinnest portion of cornea
* Change in refraction with increasing myopia
* Development of myopic astigmatism
* Development of irregular astigmatism

Exclusion Criteria

Subjects meeting any of the following criteria will be excluded from this protocol:

* Eyes classified as either normal, atypical normal,
* Corneal pachymetry ≤ 350 microns at the thinnest point measured by Pentacam in the eye to be treated
* A history of chemical injury or delayed epithelial healing in the eye to be treated.
* Pregnancy (including plan to become pregnant) or lactation during the course of the study
* A known sensitivity to study medications
* Patients with nystagmus or any other condition that would prevent a steady gaze during the treatment
* Inability to cooperate with diagnostic tests.
* Patients with a current condition that, in the investigator's opinion, would interfere with or prolong epithelial healing.
* Taking Vitamin C (ascorbic acid) supplements within 1 week of the cross-linking treatment.
* Patients who are unable to remain supine and tolerate a lid speculum for an extended period of time.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Robert Mack, M.D.

OTHER

Sponsor Role lead

Responsible Party

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Robert Mack, M.D.

Sponsor-Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Robert J Mack, M.D.

Role: PRINCIPAL_INVESTIGATOR

Mack Eye Center

Locations

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Mack Eye Center

Hoffman Estates, Illinois, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Robert J Mack, M.D.

Role: CONTACT

Phone: 847-755-9393

Email: [email protected]

Facility Contacts

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Adam Baruch

Role: primary

Other Identifiers

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MEC-0001

Identifier Type: -

Identifier Source: org_study_id