Trial Outcomes & Findings for Safety and Efficacy of Corneal Crosslinking Using the PXL-Platinum 330 for Eyes With Corneal Ectatic Conditions (NCT NCT04240457)

NCT ID: NCT04240457

Last Updated: 2024-12-12

Results Overview

Average keratometry across the anterior topography of the cornea computed by a validated topographer

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

11 participants

Primary outcome timeframe

1 year

Results posted on

2024-12-12

Participant Flow

Unit of analysis: Eyes

Participant milestones

Participant milestones
Measure
Pulsed, Accelerated
18mW, 5 seconds on, 5 seconds off, 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Conventional
9mW continuous, 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Overall Study
STARTED
7 13
4 4
Overall Study
COMPLETED
2 4
3 3
Overall Study
NOT COMPLETED
5 9
1 1

Reasons for withdrawal

Reasons for withdrawal
Measure
Pulsed, Accelerated
18mW, 5 seconds on, 5 seconds off, 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Conventional
9mW continuous, 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Overall Study
Lost to Follow-up
5
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pulsed, Accelerated
n=13 Eyes
Following riboflavin instillation, the eye was exposed to UVA pulsed light at 18mW/cm2 for 5 seconds, followed by 5 seconds off, repeating over 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Conventional
n=4 Eyes
Following riboflavin instillation, the eye was exposed to UVA continuous light at 9mW/cm2 for 10 minutes Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Total
n=17 Eyes
Total of all reporting groups
Sex: Female, Male
Male
3 Eyes
n=13 Eyes
2 Eyes
n=4 Eyes
5 Eyes
n=17 Eyes
Age, Categorical
<=18 years
4 Eyes
n=13 Eyes
0 Eyes
n=4 Eyes
4 Eyes
n=17 Eyes
Age, Categorical
Between 18 and 65 years
9 Eyes
n=13 Eyes
4 Eyes
n=4 Eyes
13 Eyes
n=17 Eyes
Age, Categorical
>=65 years
0 Eyes
n=13 Eyes
0 Eyes
n=4 Eyes
0 Eyes
n=17 Eyes
Age, Continuous
29.4 years
STANDARD_DEVIATION 11.1 • n=13 Eyes
36.8 years
STANDARD_DEVIATION 13.2 • n=4 Eyes
31.2 years
STANDARD_DEVIATION 11.6 • n=17 Eyes
Sex: Female, Male
Female
10 Eyes
n=13 Eyes
2 Eyes
n=4 Eyes
12 Eyes
n=17 Eyes
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
7 participants
n=7 Participants
4 participants
n=4 Participants
11 participants
n=11 Participants

PRIMARY outcome

Timeframe: 1 year

Population: The study was conducted during the COVID-19 pandemic. Some patients were unable or felt uncomfortable presenting to a physician's office for follow-up measurements. These individuals are marked as "lost to follow up"

Average keratometry across the anterior topography of the cornea computed by a validated topographer

Outcome measures

Outcome measures
Measure
Pulsed, Accelerated
n=13 Eyes
18mW, 5 seconds on, 5 seconds off, 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Conventional
n=4 Eyes
9mW continuous, 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Mean Keratometry in Diopters
Screening
51.0 Diopters
Standard Deviation 9.9
49.8 Diopters
Standard Deviation 4.8
Mean Keratometry in Diopters
3 months
50.3 Diopters
Standard Deviation 7.8
49.0 Diopters
Standard Deviation 5.6
Mean Keratometry in Diopters
6 months
46.6 Diopters
Standard Deviation .9
49.1 Diopters
Standard Deviation 5.5
Mean Keratometry in Diopters
12 months
47.9 Diopters
Standard Deviation 11.3
45.8 Diopters
Standard Deviation 4.6

SECONDARY outcome

Timeframe: 1 year

Population: Patients recruited at a single center based on physician examination for corneal ectasia in one or both eyes. The first patient was screened for enrollment in June 2020, while the last patient was screened in October 2021.

Measurement of best corrected visual acuity on the validated early-treatment diabetic retinopathy study scale. Snellen chart was used. Values closer to 20/20 indicate better vision.

Outcome measures

Outcome measures
Measure
Pulsed, Accelerated
n=13 Eyes
18mW, 5 seconds on, 5 seconds off, 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Conventional
n=4 Eyes
9mW continuous, 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Best Corrected Visual Acuity With Spectacles or Contact Lenses
Screening · 20/25 or better
0 Eyes
0 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
Screening · 20/30 - 20/50
0 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
Screening · 20/60 - 20/200
8 Eyes
2 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
Screening · Worse than 20/200
5 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
1 month post-procedure · 20/25 or better
0 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
1 month post-procedure · 20/30 - 20/50
6 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
1 month post-procedure · 20/60 - 20/200
2 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
1 month post-procedure · Worse than 20/200
0 Eyes
0 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
3 months post- procedure · 20/25 or better
1 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
3 months post- procedure · 20/30 - 20/50
6 Eyes
2 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
3 months post- procedure · 20/60 - 20/200
1 Eyes
0 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
3 months post- procedure · Worse than 20/200
1 Eyes
0 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
6 months post-procedure · 20/25 or better
1 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
6 months post-procedure · 20/30 - 20/50
5 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
6 months post-procedure · 20/60 - 20/200
0 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
6 months post-procedure · Worse than 20/200
0 Eyes
0 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
12 months post-procedure · 20/25 or better
1 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
12 months post-procedure · 20/30 - 20/50
1 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
12 months post-procedure · 20/60 - 20/200
0 Eyes
1 Eyes
Best Corrected Visual Acuity With Spectacles or Contact Lenses
12 months post-procedure · Worse than 20/200
0 Eyes
0 Eyes

Adverse Events

Pulsed, Accelerated

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Conventional

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Pulsed, Accelerated
n=7 participants at risk
Following riboflavin instillation, the eye was exposed to UVA pulsed light at 18mW/cm2 for 5 seconds, followed by 5 seconds off, repeating over 10 minutes of illumination. Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Conventional
n=4 participants at risk
Following riboflavin instillation, the eye was exposed to UVA continuous light at 9mW/cm2 for 10 minutes Epithelial-on Corneal Crosslinking with the PXL 330 Platinum system.: PXL-330 Platinum device for crosslinking with Peschke riboflavin solution. Riboflavin will be used to load the cornea, followed by UV-A crosslinking of the cornea.
Eye disorders
Photophobia
14.3%
1/7 • Number of events 1 • 1 year
0.00%
0/4 • 1 year

Additional Information

David Lubeck, MD

ChicagoArbor Eye Care

Phone: 708-798-6633

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place