Study Results
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Basic Information
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UNKNOWN
PHASE1/PHASE2
102 participants
INTERVENTIONAL
2020-01-20
2021-05-31
Brief Summary
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1. Not many previous clinical trials done related to UCS eye drops.
2. There were only two clinical trials done before to compare the use of UCS eye drops versus conventional AT eye drops on Hansen's disease and acute ocular chemical burn injury population.
3. To apply the newer technology of Keratograph® 5M in DED assessment.
4. To initiate a proper standard operating procedure for production as well as delivery of serum eye drops which allowing out-patient treatment with serum eye drops possible.
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Detailed Description
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Human umbilical cord blood samples will be collected from Maternity Hospital, Hospital Kuala Lumpur with assistance of the nurses from Cord Blood Collection Unit. All maternal blood samples were collected after the written informed consent from respective parents and subjected for virology screening.
National Blood Bank has a procedure for virology screening and all collected maternal umbilical cord bloods will be screened for Hep B Surface Antigen, Anti-HCV Ag/Ab, HIV Ag/Ab, Syphillis and Cytomegalovirus (CMV) IgM in Transfusion Microbiology Laborator (Accredited by ISO 15189 and CSL). Method that has been used in the screening as below:
* Hep B Surface Antigen, Anti-HCV, HIV Ag/Ab: Chemiluminescent Microparticle Immunoassay (CMIA).
* Syphilis : Carbon Antigen (Manual)
* CMV IgM : Electrochemiluminescence Immunoassay (ECLIA)
Whereas, the CB samples are screened for bacteriology screening pre and post processing to ensure sterility of the product. The serum will be discarded if any of the laboratory results are positive or reactive.
The collected cord blood (CB) will then be placed in an incubator at the collection centre until the cord blood samples are sent to National Blood Bank in an ice box with temperature logger. Once the ice box reached National Blood Bank, MLT will check the temperature logger and make sure all the temperature data within range (10-26oC) before starting the UCS serum eye drops production.
CB will be processed in Cord Blood Processing Unit within 24 hours of collection to ensure retrieval of high quality of bioactive molecules. Laboratory temperature room, humidity and oxygen will be monitored twice a day. Upon arrival at the processing laboratory, the CB will then be left at room temperature for about 2 hours to allow the CB to clot completely. After 15 minutes of centrifugation at 3,000 × g, under sterile conditions, the serum fraction will be carefully separated from the cellular fraction. Separated serum is then transferred to a tygon tube by using a sterile docking device and diluted to a 20% dilution with balanced salt solution (BSS) without any antibiotics, and finally sealed into 1-inch segment consisting of approximately 1 ml serum eye drops. The segmented UCS will then be frozen at -20oC for 3 to 6 months or at -80°C for long term storage.
For safety and quality interest, frozen segments will be transported to UKMMC blood bank using a transportation box filled with dry ice to ensure UCS are at frozen state and to maintain the quality of the product until they reach destination. From UKMMC blood bank, participants will need to bring the frozen UCS eye drops home by transporting them in a cooler box with ice packs. At home, the frozen UCS eye drops will need to be kept in domestic freezer. The frozen UCS eye drops must be thawed at room temperature prior to usage and thereafter stored in the refrigerator at 2-8°C for a maximum of 24 hours. A short instruction sheet will be provided to participants on UCS usage. There will be no porcine/bovine materials involved in the whole process.
Statistical analysis will be performed using Statistical Package for Social Science, version 20.0 (SPSS, Inc., Chicago, III., USA) for Windows. Mean value comparisons between study groups can be performed with the Student's T-test using 2 sided-analysis. Mean value comparisons for follow up can be analysed with ANOVA. Categorical characteristics can be analyzed using a Chi-square. Differences are considered statistically significant at P\<0.05.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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A-AT eye drops
Optive Fusion UD eye drops + Genteal lubricant gel
Optive, Ophthalmic Solution
6 drops per day, for 8 weeks
Genteal lubricant gel
Genteal lubricant gel (2 drops per day, for 8 weeks)
B-UCS eye drops
UCS eye drops + GentTeal lubricant gel
Umbilical Cord Serum eye drops
UCS eye drops (6 drops per day, for 8 weeks)
Genteal lubricant gel
Genteal lubricant gel (2 drops per day, for 8 weeks)
Interventions
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Optive, Ophthalmic Solution
6 drops per day, for 8 weeks
Umbilical Cord Serum eye drops
UCS eye drops (6 drops per day, for 8 weeks)
Genteal lubricant gel
Genteal lubricant gel (2 drops per day, for 8 weeks)
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Patients willing to participate in this study and able to provide consent
* Patients with domestic freezer at home
Exclusion Criteria
* Cases with limbal stem cells deficiency
* Patients with lid abnormalities
* Allergic to study eye drops component
18 Years
ALL
No
Sponsors
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National University of Malaysia
OTHER
Responsible Party
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Wan Haslina Wan Abdul Halim
Consultant Ophthalmologist-Cornea And Anterior Segment
Principal Investigators
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Wan Haslina Wan Abdul Halim, M.D(UKM)
Role: STUDY_CHAIR
National University of Malaysia
Locations
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UKM Medical Centre
Cheras, Kuala Lumpur, Malaysia
National Blood Centre, Malaysia
Kuala Lumpur, Kuala Lumpur, Malaysia
Hospital Kuala Lumpur
Kuala Lumpur, Kuala Lumpur, Malaysia
Countries
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Central Contacts
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Facility Contacts
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References
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Other Identifiers
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GGPM-2018-052
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
FF-2019-209
Identifier Type: -
Identifier Source: org_study_id
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