Use Of Intracameral Moxifloxacin For Prophylaxis Of Open Globe Endophthalmitis

NCT ID: NCT05079854

Last Updated: 2021-11-10

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-01

Study Completion Date

2023-11-01

Brief Summary

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Endophthalmitis is a severe inflammatory eye condition with profound impairment of vision, which can lead to irreversible visual loss and requires immediate treatment.

There is no way to completely prevent endophthalmitis, however, through prophylactic methods, it is possible to reduce its incidence. Currently, the only technique that has reached category II of evidence in reducing the risks of endophthalmitis is the use of 5% povidone-iodine eye drops, moments before surgery. In 2007, the European Society of Cataract and Refractive Surgery (ESCRS) released a large multicenter randomized clinical trial, with data on the reduction in the rates of endophthalmitis, using the intracameral antibiotic therapy technique of perioperative cefuroxime. However, much is discussed about the risks related to the technique, such as dilutional errors, contamination, anaphylaxis and cost-effectiveness, which still makes the conduct debatable.

The study evaluates the use of intracameral Moxifloxacin 0.5% (Vigamox®) as prophylaxis in cases of endophthalmitis after open ocular trauma;

Detailed Description

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Conditions

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Endophthalmitis Trauma, Corneal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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INTRACAMERAL MOXIFLOXACIN

After the surgery, the antibiotic is intracameral administered, Moxifloxacin 0.5% 0.1mL.

Group Type ACTIVE_COMPARATOR

Intraocular Instillation Solution

Intervention Type DRUG

Intracameral Moxifloxacin 0.5%

TOPICAL MOXIFLOXACIN

After the surgery, the antibiotic is topical administered, Moxifloxacin 0.5% 0.1mL.

Group Type ACTIVE_COMPARATOR

Moxifloxacin Ophthalmic

Intervention Type DRUG

Topical Moxifloxacin 0.5%

Interventions

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Intraocular Instillation Solution

Intracameral Moxifloxacin 0.5%

Intervention Type DRUG

Moxifloxacin Ophthalmic

Topical Moxifloxacin 0.5%

Intervention Type DRUG

Other Intervention Names

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Intracameral

Eligibility Criteria

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Inclusion Criteria

* open globe trauma

Exclusion Criteria

* endophthalmitis at the beginning
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federal University of São Paulo

OTHER

Sponsor Role lead

Responsible Party

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Mauricio Maia

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Dept of Ophthalmology - UNIFESP/Hospital São Paulo

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Countries

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Brazil

Facility Contacts

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Vinicius Campos Bergamo, MD

Role: primary

Mauricio Maia, MD, PhD

Role: backup

Other Identifiers

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TOP_VIGAMOX

Identifier Type: -

Identifier Source: org_study_id