Treatment of Adenoviral Conjunctivitis With SHP640 Compared to Povidone-iodine (PVP-I) and Placebo

NCT ID: NCT02998541

Last Updated: 2021-06-14

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

219 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-27

Study Completion Date

2019-05-13

Brief Summary

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The purpose of this study is to determine if an investigational treatment is effective compared with placebo and PVP-Iodine in the treatment of adults and children with adenoviral conjunctivitis.

Detailed Description

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Conditions

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Adenoviral Conjunctivitis

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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SHP640

Participants will receive one drop of SHP640 (0.1 percent \[%\] dexamethasone and 0.6% PVP-I) ophthalmic suspension in each eye 4 times daily (QID) for 7 days.

Group Type EXPERIMENTAL

SHP640

Intervention Type DRUG

Participants will receive one drop of SHP640 (0.1 % dexamethasone and 0.6% PVP-I) ophthalmic suspension in each eye QID (with a minimum of 2 hours between doses) for 7 days.

PVP-I 0.6%

Participants will receive one drop of 0.6% PVP-I ophthalmic solution in each eye QID for 7 days.

Group Type ACTIVE_COMPARATOR

PVP-I 0.6%

Intervention Type DRUG

Participants will receive one drop of PVP-I ophthalmic solution in each eye QID (with a minimum of 2 hours between doses) for 7 days.

Placebo

Participants will receive one drop of placebo ophthalmic solution in each eye QID for 7 days.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Participants will receive one drop of placebo ophthalmic solution in each eye QID (with a minimum of 2 hours between doses) for 7 days.

Interventions

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SHP640

Participants will receive one drop of SHP640 (0.1 % dexamethasone and 0.6% PVP-I) ophthalmic suspension in each eye QID (with a minimum of 2 hours between doses) for 7 days.

Intervention Type DRUG

PVP-I 0.6%

Participants will receive one drop of PVP-I ophthalmic solution in each eye QID (with a minimum of 2 hours between doses) for 7 days.

Intervention Type DRUG

Placebo

Participants will receive one drop of placebo ophthalmic solution in each eye QID (with a minimum of 2 hours between doses) for 7 days.

Intervention Type OTHER

Other Intervention Names

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FST-100

Eligibility Criteria

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Inclusion Criteria

* An understanding, ability, and willingness to fully comply with study procedures and restrictions (by the parent(s), guardian, or legally authorized representative, if applicable).
* Ability to voluntarily provide written, signed, and dated (personally or via a parent(s), guardian, or legally authorized representative(s) informed consent (and assent, if applicable) to participate in the study.
* Participants of any age at Visit 1 (Note: participants lesser than (\<) 3 months of age at Visit 1 must have been full-term, i.e. greater than or equal to (\>=) 37 weeks gestational age at birth).
* Meet at least 1 of the 2 criteria below:

a) Have a positive AdenoPlus test at Visit 1 in at least 1 eye. b) Have at least 2 of the following 5 criteria, based upon medical history and examination: i.Symptoms within the past 7 days consistent with acute upper respiratory tract infection (eg. sore throat, cough, rhinorrhea, etc).

ii. Contact within the past 7 days with family members or other individuals with recent onset of symptoms consistent with conjunctivitis iii. Acute onset within the past 4 days of one or more of the following ocular symptoms: burning/irritation, foreign body sensation, light sensitivity.

iv. Enlarged periauricular lymph node(s). v. Presence of follicles on tarsal conjunctiva. Note:If the participant only meets Inclusion Criterion (a positive AdenoPlus test in at least 1 eye), then the same eye must meet the mentioned below Inclusion Criterion.

* Have a clinical diagnosis of suspected adenoviral conjunctivitis in at least 1 eye confirmed by the presence of the following minimal clinical signs and symptoms in that same eye:

1. Report presence of signs and/or symptoms of adenoviral conjunctivitis for lesser than or equal to (\<=) 4 days prior to Visit 1
2. Bulbar conjunctival injection: a grade of \>= 1 (mild) on a 0-4 Bulbar Conjunctival Injection Scale.
3. Watery conjunctival discharge: a grade of \>= 1 (mild) on a 0-3 Watery Conjunctival Discharge Scale
* Be willing to discontinue contact lens wear for the duration of the study.
* Have a Best Corrected Visual Acuity (BCVA) of 0.60 logMAR or better in each eye as measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart. BCVA will be assessed by an age appropriate method in accordance with the AAP Policy Statement for Visual System Assessment in Infants, Children, and Young Adults by Pediatricians (Donahue and Baker 2016; American Academy of Pediatrics 2016).The policy statement recommends formal vision screening can begin at 3 years of age. VA measurements for children under the age of 3 will be done at the discretion of the investigator.
* If not done, child should be able to fixate on and follow a moving object, except participants \<2 months of age who have not yet developed this ability. Participants \<2 months will be enrolled at the discretion of the investigator.
* Male, or non-pregnant, non-lactating female who agrees to comply with any applicable contraceptive requirements of the protocol or females of non-childbearing potential.

Exclusion Criteria

* Current or recurrent disease that could affect the action, absorption, or disposition of the investigational product, or clinical or laboratory assessments, per investigator's discretion.
* Current or relevant history of physical or psychiatric illness, any medical disorder that may make the participants unlikely to fully complete the study, or any condition that presents undue risk from the investigational product or procedures.
* Have known or suspected intolerance or hypersensitivity to the investigational product, closely related compounds, or any of the stated ingredients.
* Prior enrollment in a FST-100 or SHP640 clinical study.
* Participants who are employees, or immediate family members of employees (who are directly related to study conduct), at the investigational site.
* Have a history of ocular surgical intervention within \<= 6 months prior to Visit 1 or planned for the period of the study.
* Have a pre-planned overnight hospitalization during the period of the study.
* Have presence of any intraocular, corneal, or conjunctival ocular inflammation (eg, uveitis, iritis, ulcerative keratitis, chronic blepharoconjunctivitis), other than adenoviral conjunctivitis.
* Have presence of corneal subepithelial infiltrates at Visit 1.
* Have active or history of ocular herpes.
* Have at enrollment or within \<= 30 days of Visit 1, a clinical presentation more consistent with the diagnosis of non-infectious conjunctivitis (except presumed seasonal/perennial allergic conjunctivitis), or non-adenoviral ocular infection (e.g. bacterial, fungal, acanthamoebal, or other parasitic).

Note:history or concomitant presence of presumed seasonal or perennial allergic conjunctivitis signs/symptoms is not exclusionary.

* Neonates or infants (i.e. participants less than 12 months of age) who have suspected or confirmed (based on the result of any test conducted prior to screening) conjunctivitis of gonococcal, chlamydial, herpetic or chemical origin.
* Neonates or infants (i.e. participants less than 12 months of age) whose birth mothers had any sexually transmitted disease within 1 month of delivery or any history of genital herpes.
* Presence of nasolacrimal duct obstruction at Visit 1 (Day 1).
* Presence of any significant ophthalmic condition (e.g. Retinopathy of Prematurity, congenital cataract, congenital glaucoma) or other congenital disorder with ophthalmic involvement that could affect study variables.
* Be a known intraocular pressure (IOP) steroid responder, have a known history or current diagnosis of glaucoma, or be a glaucoma suspect.
* Have any known clinically significant optic nerve defects.
* Have a history of recurrent corneal erosion syndrome, either idiopathic or secondary to previous corneal trauma or dry eye syndrome; presence of corneal epithelial defect or any significant corneal opacity at Visit 1.
* Presence of significant, active condition in the posterior segment which requires invasive treatment (e.g. intravitreal treatment with VEGF inhibitors or corticosteroids) and may progress during the study participation period.
* Have used any topical ocular or systemic anti-vials or antibiotics within \<= 7 days of enrollment.
* Have used any topical ocular Non-steroidal Anti-inflammataory Drugs (NSAIDs) within \<= 1 day of enrollment.
* Have used any topical ophthalmic steroids in the last \<= 14 days.
* Have used any systemic corticosteroid agents within \<= 14 days of Day 1. Stable (initiated \>= 30 days prior to enrollment) use of inhaled and nasal corticosteroids is allowed, given no anticipated change in dose for the duration of the study. Topical dermal steroids are allowed except in the peri-ocular area.
* Have used non-corticosteroid immunosuppressive agents within \<= 14 days of Day 1.
* Have used any topical ophthalmic products, including tear substitutes, and over-the-counter preparations such as lid scrubs, within 2 hours of Visit 1 and be unable to discontinue all topical ophthalmic products for the duration of the study. Use of hot or cold compresses is also not permitted during the study.
* Have any significant ocular disease (eg, Sjogren's syndrome) or any uncontrolled systemic disease or debilitating disease (eg, cardiovascular disease, hypertension, sexually transmitted diseases/infections, diabetes or cystic fibrosis), that may affect the study parameters, per the investigator's discretion.
* Any known history of immunodeficiency disorder or known active conditions predisposing to immunodeficiency, such as human immunodeficiency virus, hepatitis B or C, evidence of active hepatitis A (antihepatitis A virus immunoglobulin M), or organ or bone marrow transplantation.
* Within 30 days prior to the first dose of investigational product:

1. Have used an investigational product or device, or
2. Have been enrolled in a clinical study (including vaccine studies) that, in the investigator's opinion, may impact this Shire-sponsored study
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shire

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Arizona Eye Center

Chandler, Arizona, United States

Site Status

Midwestern University Eye Institute

Glendale, Arizona, United States

Site Status

M&M Eye Institute

Prescott, Arizona, United States

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Walman Eye Center

Sun City, Arizona, United States

Site Status

Milton M. Hom, OD, FAAO

Azusa, California, United States

Site Status

Mark B. Kislinger, MD, PhD, Inc.

Glendora, California, United States

Site Status

Inland Eye Specialists

Hemet, California, United States

Site Status

Lakeside Vision Center

Irvine, California, United States

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Loma Linda University

Loma Linda, California, United States

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Eye Physicians of Long Beach

Long Beach, California, United States

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Oxford Optical

Los Angeles, California, United States

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Macy Eye Center

Los Angeles, California, United States

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Shultz Chang Vision

Northridge, California, United States

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Stanford Byers Eye Institute

Palo Alto, California, United States

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North Bay Eye Associates, Inc.

Petaluma, California, United States

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Arch Health Partners

Poway, California, United States

Site Status

Martel Eye Medical Group

Rancho Cordova, California, United States

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Shasta Eye Medical Group, Inc.

Redding, California, United States

Site Status

The Eye Associates

Bradenton, Florida, United States

Site Status

South Florida Vision Associates, LLC

Fort Lauderdale, Florida, United States

Site Status

Bascom Palmer Eye Institute

Miami, Florida, United States

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Lorites Medical Group

Miami, Florida, United States

Site Status

Pediatric & Adult Research Center, LLC

Orlando, Florida, United States

Site Status

East Florida Eye Institute

Stuart, Florida, United States

Site Status

Andrew Gardner Logan, MD / dba Logan Ophthalmic Research, LLC

Tamarac, Florida, United States

Site Status

Eye Care Centers Management, Inc.

Morrow, Georgia, United States

Site Status

Jackson Eye

Lake Villa, Illinois, United States

Site Status

Illinois Eye Center

Peoria, Illinois, United States

Site Status

MediSphere Medical Research Center, an AMR affiliate

Evansville, Indiana, United States

Site Status

Kannarr Eye Care

Pittsburg, Kansas, United States

Site Status

Koffler Vision Group

Lexington, Kentucky, United States

Site Status

Kentucky Eye Institute

Lexington, Kentucky, United States

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Senior Health Services

Louisville, Kentucky, United States

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Baker, Carl W

Paducah, Kentucky, United States

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Lakeview Vision - Gretna

Gretna, Louisiana, United States

Site Status

Haik Humble Eye Center

West Monroe, Louisiana, United States

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Eye Center Northeast

Bangor, Maine, United States

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Massachusetts Eye and Ear Infirmary

Boston, Massachusetts, United States

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Shire Call Center

Lexington, Massachusetts, United States

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Clinical Eye Research of Boston

Winchester, Massachusetts, United States

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The Regents of the University of Michigan

Ann Arbor, Michigan, United States

Site Status

Minnesota Eye Consultants, P.A.

Bloomington, Minnesota, United States

Site Status

Lifelong Vision Foundation

Chesterfield, Missouri, United States

Site Status

Moyes Eye Center

Kansas City, Missouri, United States

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Mercy Research

Springfield, Missouri, United States

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Nevada Eye Care Professionals

Las Vegas, Nevada, United States

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Hassman Research Institute

Berlin, New Jersey, United States

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Northern New Jersey Eye Institute

South Orange, New Jersey, United States

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Oculus Research

Raleigh, North Carolina, United States

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James Branch, M.D.

Winston-Salem, North Carolina, United States

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Matossian Eye Associates

Doylestown, Pennsylvania, United States

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UPMC Eye Center

Pittsburgh, Pennsylvania, United States

Site Status

Wyomissing Optometric Center

Wyomissing, Pennsylvania, United States

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Black Hills Regional Eye Institute

Rapid City, South Dakota, United States

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The Eye Center at Southern College of Optometry

Memphis, Tennessee, United States

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Total Eye Care, PA

Memphis, Tennessee, United States

Site Status

Eye Specialty Group

Memphis, Tennessee, United States

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Nashville Vision Associates

Nashville, Tennessee, United States

Site Status

Toyos Clinic

Nashville, Tennessee, United States

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Houston Eye Associates

Houston, Texas, United States

Site Status

Lake Travis Eye & Laser Center

Lakeway, Texas, United States

Site Status

Houston Eye Associates

League City, Texas, United States

Site Status

DCT-Shah Research, LLC dba Discovery Clinical Trials

Mission, Texas, United States

Site Status

R and R Eye Research, LLC.

San Antonio, Texas, United States

Site Status

Lone Star Eye Care, P.A.

Sugar Land, Texas, United States

Site Status

Ericksen Research & Development, LLC

Clinton, Utah, United States

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Emerson Clinical Research Institute, LLC

Falls Church, Virginia, United States

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University of Wisconsin

Madison, Wisconsin, United States

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University of the Sunshine Coast Clinical Trials Centre

Sippy Downs, Queensland, Australia

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Kepler Universitätsklinikum

Linz, , Austria

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AKH - Medizinische Universitaet Wien

Vienna, , Austria

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Vienna Institute for Research in Ocular Surgery

Vienna, , Austria

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The Ottawa Hospital - General Campus, University of Ottawa Eye Institute

Ottawa, Ontario, Canada

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University of Waterloo School of Optometry and Vision Science

Waterloo, Ontario, Canada

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McGill University Health Centre/Glen Site / Royal Victoria Hospital

Montreal, Quebec, Canada

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Eye Clinic Dr Kirsta Turman

Tallinn, , Estonia

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East Tallinn Central Hospital

Tallinn, , Estonia

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Tartu University Hospital

Tartu, , Estonia

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CHU Limoges - Hopital Dupuytren

Limoges, Haute Vienne, France

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Hopital Necker - Enfants Malades

Paris, , France

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Klinisches Studienzentrum der Augenklinik

Mainz, , Germany

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Augenärzte am Franziskus Hospital

Münster, , Germany

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Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont

Szeged, Csongrád megye, Hungary

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Bugat Pal Korhaz

Gyöngyös, Heves County, Hungary

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Debreceni Egyetem

Debrecen, , Hungary

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Somogy Megyei Kaposi Mor Oktato Korhaz

Kaposvár, , Hungary

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Csolnoky Ferenc Korhaz

Veszprém, , Hungary

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L. V. Prasad Eye Institute

Hyderabad, Andhra Pradesh, India

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Sankara Eye Hospital

Bangalore, Karnataka, India

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Bhagwan Mahaveer Jain Hospital

Bangalore, Karnataka, India

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M. S. Ramaiah Medical College and Hospital

Bangalore, Karnataka, India

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Sapthagiri Hospital

Bangalore, Karnataka, India

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K.L.E. Society's Dr. Prabhakar Kore Hospital and Medical Research Centre

Belagavi, Karnataka, India

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NKP Salve Institute of Medical Sciences

Nagpur, Maharashtra, India

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Dr. D. Y. Patil Medical College

Navi Mumbai, Maharashtra, India

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PBMA'S H. V. Desai Eye Hospital

Pune, Maharashtra, India

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S. P. Medical College & Associated Group of Hospitals

Bikaner, Rajasthan, India

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ICARE Eye Hospital and Post Graduate Institute

Noida, Uttar Pradesh, India

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Regional Institute of Ophthalmology

Kolkata, West Bengal, India

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HaEmek Medical Center

Afula, , Israel

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Soroka University Medical Center

Beersheba, , Israel

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Rambam MC

Haifa, , Israel

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Shaare Zedek Medical Center

Jerusalem, , Israel

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Rabin Medical Center-Beilinson Campus

Petah Tikva, , Israel

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Kaplan Medical Center

Rehovot, , Israel

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Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

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A.O.U. Policlinico San'Orsola-Malpighi

Bologna, , Italy

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Instituto Regional de Oftalmología

La Libertad, , Peru

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Macula D&T S.R.L.

Lima, , Peru

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Oftalmosalud SRL.

Lima, , Peru

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Szpital Specjalistyczny nr 1

Bytom, , Poland

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Centrum Medyczne UNO-MED

Krakow, , Poland

Site Status

Centrum Diagnostyki i Mikrochirurgii Oka LENS

Olsztyn, , Poland

Site Status

Centrum Medyczne Uno-Med (Private Practice)

Tarnów, , Poland

Site Status

Retina Sp. z o.o.

Warsaw, , Poland

Site Status

Newtown Clinical Research

Johannesburg, Gauteng, South Africa

Site Status

Into Research

Pretoria, Gauteng, South Africa

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Pretoria Eye Institute Research Foundation

Pretoria, Gauteng, South Africa

Site Status

Nelson R Mandela School of Medicine Ophthalmology Department

Durban, KwaZulu-Natal, South Africa

Site Status

Instituto Oftalmológico Fernández-Vega

Oviedo, Principality of Asturias, Spain

Site Status

Complejo Asistencial Universitario de Burgos

Burgos, , Spain

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Hospital Universitari de Girona Dr Josep Trueta

Girona, , Spain

Site Status

Clinica Oftalmologia Gil Piña

Huelva, , Spain

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Clinica Rementeria

Madrid, , Spain

Site Status

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, , Spain

Site Status

Cartuja Vision

Seville, , Spain

Site Status

FISABIO-Oftalmología Médica

Valencia, , Spain

Site Status

Hospital Clinico Universitario Lozano Blesa

Zaragoza, , Spain

Site Status

Hospital Universitario Miguel Servet

Zaragoza, , Spain

Site Status

Manchester Royal Eye Hospital

Manchester, Greater Manchester, United Kingdom

Site Status

Countries

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United States Australia Austria Canada Estonia France Germany Hungary India Israel Italy Peru Poland South Africa Spain United Kingdom

Provided Documents

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Document Type: Study Protocol: Protocol

View Document

Document Type: Study Protocol: Amendment 1

View Document

Document Type: Study Protocol: Amendment 2

View Document

Document Type: Study Protocol: Amendment 3

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-002439-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SHP640-301

Identifier Type: -

Identifier Source: org_study_id

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