The Ghana Primary Tube Versus Trabeculectomy Study

NCT ID: NCT02088528

Last Updated: 2014-03-17

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

NA

Total Enrollment

298 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Brief Summary

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Medical treatment of glaucoma in West Africa is often unsuccessful because of the cost of medications, disease severity and poor compliance. Surgical treatment is likely to be a more practical solution.

The purpose of this study is to compare the safety and efficacy of the Aurolab glaucoma drainage device against trabeculectomy with mitomycin-c in a prospective randomised surgical study.

Detailed Description

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Conditions

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Glaucoma

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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Aurolab glaucoma drainage device

Group Type ACTIVE_COMPARATOR

Aurolab glaucoma drainage device

Intervention Type DEVICE

Patients undergoing surgery will receive an implant

Trabeculectomy with mitomycin-c

Group Type ACTIVE_COMPARATOR

Trabeculectomy with mitomycin-c

Intervention Type PROCEDURE

Trabeculectomy surgery augmented by application of mitomycin C (0.4 mg/ml) to the sclera in the region of the trabeculectomy site for a period of exactly 3 minutes.

Interventions

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Aurolab glaucoma drainage device

Patients undergoing surgery will receive an implant

Intervention Type DEVICE

Trabeculectomy with mitomycin-c

Trabeculectomy surgery augmented by application of mitomycin C (0.4 mg/ml) to the sclera in the region of the trabeculectomy site for a period of exactly 3 minutes.

Intervention Type PROCEDURE

Other Intervention Names

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AADI

Eligibility Criteria

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Inclusion Criteria

* Age 18 to 85 years, inclusive
* Open angle glaucoma. Including primary open angle glaucoma, pseudoexfoliative and pigmentary glaucoma
* Intraocular pressure 18 - 40 mmHg on maximal tolerated or maximal affordable medical therapy
* Informed consent given and consent form signed.

Exclusion Criteria

* Unwilling or unable to give consent, unwilling to accept randomisation, or unable to return for scheduled protocol visits
* Pregnant or nursing women
* No light perception vision
* Previous incisional intraocular surgery, other than uncomplicated clear corneal cataract surgery
* Previous ocular laser in study eye
* Iris neovascularisation or proliferative retinopathy
* Primary angle closure or primary angle closure glaucoma
* Iridocorneal endothelial syndrome or anterior segment dysgenesis
* Epithelial or fibrous downgrowth
* Aphakia
* Chronic or recurrent uveitis
* Steroid-induced glaucoma
* Severe posterior blepharitis
* Unwilling to discontinue contact lens use after surgery
* Previous cyclodestructive procedure
* Glaucoma secondary to penetrating keratoplasty, trauma, retinal disease/surgery or neovascular disease
* Conjunctival scarring from prior ocular surgery, trauma or cicatrizing disease precluding a superior trabeculectomy
* Need for glaucoma surgery combined with other ocular procedures (i.e. cataract surgery, penetrating keratoplasty, or retinal surgery) or anticipated need for urgent additional ocular surgery
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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International Glaucoma Association

UNKNOWN

Sponsor Role collaborator

HCA International Foundation

UNKNOWN

Sponsor Role collaborator

Tema Christian Eye Center

OTHER

Sponsor Role lead

Responsible Party

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Alex Spratt

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alexander Spratt, MBBCh FRCOphth

Role: PRINCIPAL_INVESTIGATOR

Tema Christian Eye Center

Keith Barton, MBBCh MD FRCP FRCOphth

Role: STUDY_CHAIR

Moorfields Eye Hospital NHS Foundation Trust

Donald L Budenz, MD MPH

Role: STUDY_CHAIR

University of North Carolina, Chapel Hill

Locations

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Tema Christian Eye Center

Tema, , Ghana

Site Status RECRUITING

Countries

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Ghana

Central Contacts

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Alexander Spratt, MBBCh FRCOphth

Role: CONTACT

+233549446981

Related Links

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Other Identifiers

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TCEC 044/13-14

Identifier Type: -

Identifier Source: org_study_id

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