The Effect of Sponge Versus No-Sponge Placement of Mitomycin-C on the Outcomes of Trabeculectomy With Ex-PRESS Glaucoma Filtration Device

NCT ID: NCT02016898

Last Updated: 2018-02-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2017-01-17

Brief Summary

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The primary focus of this study is to assess intraocular pressure and complication rates between patients who receive mitomycin-C using a sponge versus no-sponge.

Detailed Description

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Conditions

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Primary Open Angle Glaucoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Sponge placement of Mitomycin-C

Randomization will be stratified by age (age ≥65 or age \< 65), baseline IOP (IOP ≥ 28 mmHg or IOP \< 28 mmHg), and concurrent cataract surgery.

Group Type EXPERIMENTAL

Placement of the sponge

Intervention Type PROCEDURE

Mitomycin-C

Intervention Type DRUG

Irrigation placement of Mitomycin-C

Randomization will be stratified by age (age ≥65 or age \< 65), baseline IOP (IOP ≥ 28 mmHg or IOP \< 28 mmHg), and concurrent cataract surgery.

Group Type EXPERIMENTAL

Mitomycin-C

Intervention Type DRUG

Interventions

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Placement of the sponge

Intervention Type PROCEDURE

Mitomycin-C

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Men or women aged 18 years and older at screening.
2. Diagnosis of chronic angle-closure glaucoma or open-angle glaucoma, phakic or pseudophakic, with visual field or optic disc changes characteristic of glaucoma.
3. Suitable candidate for trabeculectomy with Ex-PRESS glaucoma filtration device with MMC in the superonasal quadrant in the study eye which the physician deems as medically necessary.
4. Capable and willing to provide consent

Exclusion Criteria

1. Unable or unwilling to provide consent
2. Any previous ocular surgeries in the study eye preventing placement of the trabeculectomy with Ex-PRESS glaucoma filtration device with mitomycin-C in the superonasal quadrant
3. Any previous glaucoma drainage devices in the study eye
4. Any abnormality other than glaucoma in the study eye that could affect applanation tonometry.
5. Presence or history of any abnormality or disorder that could interfere with the study procedure or prevent the successful completion of the study.
6. Presence or history of uveitis within 10 years or any other ocular infection or inflammation within 14 days before day 1.
7. Any significant unstable cardiovascular, hepatic, renal, respiratory, gastrointestinal, endocrine, immunologic, dermatologic, hematologic, neurologic, or psychiatric disease.
8. Known Pregnancy or Breastfeeding

Physical and Laboratory Findings
9. Conjunctival scarring precluding a superonasal implantation location.
10. Vitreous in the anterior chamber.
11. Abnormality preventing reliable applanation tonometry in the study eye.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Leon Herndon, MD

Role: PRINCIPAL_INVESTIGATOR

Duke Health

Locations

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Duke University Medical Center

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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Quist MS, Brown N, Bicket AK, Herndon LW. The Short-term Effect of Subtenon Sponge Application Versus Subtenon Irrigation of Mitomycin-C on the Outcomes of Trabeculectomy With Ex-PRESS Glaucoma Filtration Device: A Randomized Trial. J Glaucoma. 2018 Feb;27(2):148-156. doi: 10.1097/IJG.0000000000000830.

Reference Type DERIVED
PMID: 29189540 (View on PubMed)

Other Identifiers

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Pro00048136

Identifier Type: -

Identifier Source: org_study_id

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