Effectiveness of Liposomial Ozonized-Oil for Cataract Surgery

NCT ID: NCT04087733

Last Updated: 2021-02-11

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2020-09-30

Brief Summary

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Evaluation of the antimicrobial efficacy of a liposomal ozone-based solution (OZODROP®) , vs placebo in 200 patients undergoing cataract surgery by phacoemulsification .

The clinical trial will last 3 days of treatment per patient. The conjunctival swab will be taken for each of the two eyes (in treatment and control) at T0 (before starting the treatment - 3 days before the cataract surgery) and at T3 (after 3 days of treatment - immediately before the cataract surgery). The last OZODROP instillation will take place 10 minutes before taking the sample.

Detailed Description

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The aim of the study is to assess the efficacy of a liposomal ozone-based solution (OZODROP®) in the preparation of the patient for cataract surgery, by evaluating the reduction of bacterial colonization of the conjunctiva.

The study will be carried out at 18 surgical centers located throughout the national territory and will be conducted in accordance with the recommendations of Italian ethics committees.

An informed consent will be provided to all study participants. 400 eyes of 200 patients undergoing cataract surgery by phacoemulsification will be included in the study. The clinical sample is divided into two groups, study group which will include treated and (GS) and control group (GC) eyes. The study group will be treated with OZODROP®, an isotonic ophthalmic solution composed of 0.5% ozonized oil in liposomes and hypromellose, while the GC will receive saline solution.

At the time of recruitment, all eyes will undergo a complete examination, as usual, and the patient enrolled in the study will be shown how to proceed.

The study includes 2 times, (T0) and (T3), equal for both groups in the study. 3 days before the cataract surgery (T0), two conjunctival swabs will be taken from the patients enrolled in the study, one in the eye to be operated and one in the control eye, who will be kept at a controlled temperature (+ 2 / + 7 ° C) and sent to the laboratory within 24 hours. Than, starting on the day of collection, the patients will instill the OZODROP® eye drops in the eye to be used (2 drops 4 times a day, 1 drop every 4 hours: 9:00 am, 1:00 pm, 5:00 pm: 00, h21: 00), while the untreated contralateral eye will serve as a control.Immediately before the cataract surgery (T3), the patients enrolled in the study will again receive two conjunctival swabs, one in the eye to be operated and one in the control eye. The last OZODROP® instillation will be carried out 10 minutes before the withdrawal. For the microbiological evaluation, the conjunctival swabs taken at T0 and T3 will be sent to the Microbiology laboratory. The reduction of conjunctival microbial flora, expressed as CFU, will be evaluated.

Through the analysis of the parameters in the study, a significant reduction in the microbial flora of the conjunctiva is expected in patients undergoing treatment with OZODROP®.

Conditions

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Ocular Infections

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

GROUP / TREATED EYE (OZODROP® ): OZODROP® (ozonized oil 0.5% in liposomes) ophthalmic solution, 2 drops 4 times a day. OZODROP® will be instilled in the eye that will have to undergo cataract surgery.

GROUP / CONTROL EYE: saline solution 2 drops 4 times a day. As a check it will be used the contralateral eye that will not have to undergo cataract surgery.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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GROUP / TREATED EYE

OZODROP® (ozonized oil 0.5% in liposomes) ophthalmic solution, 2 drops 4 times a day. OZODROP® will be instilled in the eye that will have to undergo cataract surgery.

Group Type EXPERIMENTAL

OZODROP

Intervention Type DRUG

3 days before the cataract surgery (T0), two conjunctival swabs will be taken from the patients enrolled in the study, one in the eye to be operated and one in the control eye, who will be kept at a controlled temperature (+ 2 / + 7 ° C) and sent to the laboratory within 24 hours. Than, starting on the day of collection, the patients will instill the OZODROP® eye drops in the eye to be used (2 drops 4 times a day, 1 drop every 4 hours: 9:00 am, 1:00 pm, 5:00 pm: 00, h21: 00), while the contralateral eye will be treated with a saline solution and it will serve as a control. Immediately before the cataract surgery (T3), the patients enrolled in the study will again receive two conjunctival swabs, one in the eye to be operated and one in the control eye. The last OZODROP® instillation will be carried out 10 minutes before the withdrawal. For the microbiological evaluation, the conjunctival swabs taken at T0 and T3 will be sent to the Microbiology laboratory

GROUP / CONTROL EYE

Saline solution 2 drops 4 times a day. As a check it will be used the contralateral eye that will not have to undergo cataract surgery.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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OZODROP

3 days before the cataract surgery (T0), two conjunctival swabs will be taken from the patients enrolled in the study, one in the eye to be operated and one in the control eye, who will be kept at a controlled temperature (+ 2 / + 7 ° C) and sent to the laboratory within 24 hours. Than, starting on the day of collection, the patients will instill the OZODROP® eye drops in the eye to be used (2 drops 4 times a day, 1 drop every 4 hours: 9:00 am, 1:00 pm, 5:00 pm: 00, h21: 00), while the contralateral eye will be treated with a saline solution and it will serve as a control. Immediately before the cataract surgery (T3), the patients enrolled in the study will again receive two conjunctival swabs, one in the eye to be operated and one in the control eye. The last OZODROP® instillation will be carried out 10 minutes before the withdrawal. For the microbiological evaluation, the conjunctival swabs taken at T0 and T3 will be sent to the Microbiology laboratory

Intervention Type DRUG

Other Intervention Names

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liposomal ozone-based solution

Eligibility Criteria

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Inclusion Criteria

1. Age over 18 years
2. Patients eligible for cataract surgery
3. Willingness to participate in the study following the indications

Exclusion Criteria

1. Use of topical and / or systemic antibiotics and other topical antiseptics during the study
2. Presence of topical ocular therapies that cannot be suspended for the entire duration of the study
3. Ongoing ocular or systemic inflammatory or infectious processes
4. Hypersensitivity to the constituents of the preparation in study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Policlinico Umberto I, Roma

UNKNOWN

Sponsor Role collaborator

Università degli Studi del Molise, Clinica Oculistica

UNKNOWN

Sponsor Role collaborator

Clinica Mediterranea, Napoli

UNKNOWN

Sponsor Role collaborator

Ospedale Santa Croce-Carle Cuneo

OTHER

Sponsor Role collaborator

Centro Medico Oculistico ALSO, Saronno

UNKNOWN

Sponsor Role collaborator

Fondazione G.B. Bietti, IRCCS , Roma

UNKNOWN

Sponsor Role collaborator

Ospedale San Carlo di Nancy, Roma

UNKNOWN

Sponsor Role collaborator

Centro oftalmologico LASERVISTA, Caserta

UNKNOWN

Sponsor Role collaborator

Casa di cura GEPOS, Telese

UNKNOWN

Sponsor Role collaborator

Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari

OTHER

Sponsor Role collaborator

Ospedale generale regionale F. Miulli, Acquaviva delle Fonti

UNKNOWN

Sponsor Role collaborator

Azienda Ospedaliera Universitaria Mater Domini, Catanzaro

OTHER

Sponsor Role collaborator

Ospedale Policlinico Casilino, Roma

UNKNOWN

Sponsor Role collaborator

Ospedale G. Panico, Tricase

UNKNOWN

Sponsor Role collaborator

Studio oculistico Laborante

UNKNOWN

Sponsor Role collaborator

Studio oculistico Franchini

UNKNOWN

Sponsor Role collaborator

U.C.O Ospedali Civico di Cristina Benfratelli

UNKNOWN

Sponsor Role collaborator

A.O.U. Città della Salute e della Scienza - Molinette Hospital

OTHER

Sponsor Role collaborator

University of Molise

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ciro Costagliola

Role: PRINCIPAL_INVESTIGATOR

University of Molise

Locations

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University of Molise

Campobasso, , Italy

Site Status

Countries

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Italy

Related Links

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https://www.ncbi.nlm.nih.gov/pubmed/28458509

Reduction in bacterial load using hypochlorous acid hygiene solution on ocular skin.

https://www.ncbi.nlm.nih.gov/pubmed/27698616

Human Microbiota and Ophthalmic Disease.

https://www.ncbi.nlm.nih.gov/pubmed/26947261

Aqueous chlorhexidine (0.1%) is an effective alternative to povidone-iodine for intravitreal injection prophylaxis

https://www.escrs.org/

escrs guidelines

http://www.ncbi.nlm.nih.gov/pubmed/20970112

Reduction of anterior chamber contamination rate after cataract surgery by intraoperative surface irrigation with 0.25% povidone-iodine.

http://www.ncbi.nlm.nih.gov/pubmed/25485065

Sub-Conjunctival Injection of Antibiotics vs. Povidone-Iodine Drop on Bacterial Colonies in Phacoemulsification Cataract Surgery.

http://www.ncbi.nlm.nih.gov/pubmed/26287981

Study of the Acute Effects of Povidone-Iodine on Conjunctival Bacterial Flora.

http://www.ncbi.nlm.nih.gov/pubmed/25230910

Evaluation of corneal damage caused by iodine preparations using human corneal epithelial cells.

http://www.ncbi.nlm.nih.gov/pubmed/28609415

Effect of Povidone Iodine 5% on the Cornea, Vision, and Subjective Comfort.

http://www.ncbi.nlm.nih.gov/pubmed/15232471

Fourth-generation fluoroquinolones: new topical agents in the war on ocular bacterial infections.

http://www.ncbi.nlm.nih.gov/pubmed/15030817

Effect of prophylactic antibiotics on antimicrobial resistance of viridans streptococci in the normal flora of cataract surgery patients.

http://www.ncbi.nlm.nih.gov/pubmed/19969216

Preoperative topical moxifloxacin 0.5% and povidone-iodine 5.0% versus povidone-iodine 5.0% alone to reduce bacterial colonization in the conjunctival sac.

http://www.ncbi.nlm.nih.gov/pubmed/11168731

Antibacterial activity of ozonized sunflower oil (Oleozon).

http://www.ncbi.nlm.nih.gov/pubmed/21134039

Ozonated sesame oil enhances cutaneous wound healing in SKH1 mice.

Other Identifiers

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0003-08-2018

Identifier Type: -

Identifier Source: org_study_id

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