Safety and Efficacy of Lotemax Versus FML in Subjects Undergoing PRK for the Correction of Mild to Moderate Myopia, 3- Month Follow-up Study

NCT ID: NCT02974387

Last Updated: 2016-11-28

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

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-30

Study Completion Date

2017-11-30

Brief Summary

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STUDY OBJECTIVE: To evaluate and compare the safety and efficacy of (corneal Wound Healing and Intraocular Pressure) Fluorometholone and Loteprednol after photorefractive keratectomy (PRK) surgery.

OVERALL STUDY DESIGN: Structure: Single-center, randomized, single blinded, contralateral (one eye receives FML, one eye Lotemax) Treatment Group: Patients will be randomized to the eye and will receive FML in one eye, Lotemax in contralateral eye Duration: 3 months Dosage/Dose Regimen: All patients will receive each one of the steroid agents 4 x a day for one month, 3 x a day for one month and 2 x a day for one month Study medication will be administered to the randomized eye through post op days according to mention protocol. Visit Schedule: baseline-screening, postop days 1, 7, 30 and then month 3th (through corneal re-epithelialization).

Detailed Description

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Conditions

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Must be PRK Candidate

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Fluorometholone(FMl)

Patients will be randomized to the eye and will receive FML in one eye.

Group Type ACTIVE_COMPARATOR

Fluorometholone(FML)

Intervention Type DRUG

Loteprednol (Lotemax)

Patients will be randomized to the eye and will receive Lotemax in contralateral eye.

Group Type ACTIVE_COMPARATOR

Loteprednol (Lotemax)

Intervention Type DRUG

Interventions

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Fluorometholone(FML)

Intervention Type DRUG

Loteprednol (Lotemax)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients, 18-45 yrs of age, in good general health
* PRK candidate(Subjects willing and able to undergo bilateral PRK for the correction of their myopia. )
* Refractive error -1 to -8 diopters (spherical equivalent) at baseline
* Females of childbearing age must have a negative pregnancy test result at baseline. A female considered to be of non-childbearing potential is she is postmenopausal (no menses for 12 consecutive months) or is without a uterus.
* Ability to follow study instructions and likely to complete the entire course of the study(Subjects who are able to comply with all study procedures, including wearing a soft bandage contact lens in the immediate postoperative period. )
* Written informed consent will be obtained
* Written HIPPA authorization will be obtained
* Subjects with MRSE \<6.0 D, with less than 2.0 D of astigmatism.
* Stable prescription in both eyes as defined by \<0.25 D change over the preceding 2 years.

Exclusion Criteria

* Uncontrolled systemic disease you mean if someone has controlled DM or rheumatic disease can be included
* Any active ocular disease, corneal abnormalities, lid abnormalities, or any ocular pathologies
* History of serious eye disease, trauma, or previous ocular surgery
* History of unstable myopia
* History of herpes keratitis
* Known allergy or hypersensitivity to the study medication
* Anticipated wearing of contact lenses in addition to the required bandage contact lens post-PRK. Patients who wear soft contact lenses should discontinue wearing them at least 7 days prior to baseline visit. Patients wearing RGP or hard contact lenses should discontinue wearing them at least 3 weeks prior to baseline visit.
* Females who are pregnant, breastfeeding, or trying to conceive.
* Keratoconus or keratoconus suspect
* Any condition or situation which, in the investigator's opinion, may put patient at significant risk or may confound the study results
* Subjects who have a past or present disease, which as judged by the investigator may affect the safety of the subject or the outcome of the study.
* Subjects who have previously had corneal surgery.
* Subjects with any ocular disease or corneal abnormality, including but not limited to:

* Decreased corneal sensation / neurotrophic cornea;
* Corneal vascularization;
* Keratoconus;
* Keratoconjunctivitis sicca requiring chronic treatment;
* Lagophthalmos;
* Blepharitis;
* History of infectious keratitis;
* History of glaucoma or intraocular pressure of \>21 mmHg or use of glaucoma medications;
* Significant dry eye disease that requires regular topical treatment;
* Corneal thickness \<480 µm at the thinnest point, and
* Posterior elevation \>40 micron.
* Subjects who require any topical ophthalmic medication other than the pre- and postoperative regimen defined in the study protocol.
* Subjects who are taking amiodarone, long acting anticholinergics, e.g., atropine, scopolamine, or medications or agents that can cause dry eye.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Shiraz University of Medical Sciences

OTHER

Sponsor Role collaborator

Dr Salouti Eye Research Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Payam Peymani, Pharm.D, PhD

Role: CONTACT

Email: [email protected]

Mohammadreza Razeghinejad, M.D., Ophthalmologist

Role: CONTACT

Email: [email protected]

Other Identifiers

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SERCCT1

Identifier Type: -

Identifier Source: org_study_id