Safety Profile Comparison of Undiluted Intracameral Moxifloxacin vs. Levofloxacin in Cataract Surgery

NCT ID: NCT05741632

Last Updated: 2023-08-22

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

PHASE1

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-01

Study Completion Date

2023-04-01

Brief Summary

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The goal of this randomized clinical trial study is to compare safety profile undiluted intracameral moxifloxacin vs levofloxacin during cataract surgery. The main question it aims to answer is whether moxifloxacin and levofloxacin have similar safety profile.

Participant will be randomized into two treatment arms. All participant will receive standardized treatment before, during, and after surgery and will be followed up at one day, one week, and one month after surgery.

Detailed Description

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This study aims to observe the safety profile in patient receiving cataract surgery who receives moxifloxacin and levofloxacin intracamerally during the surgery. Safety profile defined as visual acuity, intraocular pressure, corneal endothelial cell density, central corneal thickness, anterior chamber reactions, and central macular thickness. Parameters are obtained before the surgery, 1 day, 1 week, and 1 month after surgery. Subjects are randomized to two treatment arms: (1) receiving undiluted moxifloxacin 0.1 cc during surgery; (2) receiving undiluted levofloxacin 0.1 cc during surgery.

Conditions

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Cataract

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

First group will receive Moxifloxacin intracameral during surgery Second group will receive Levofloxacin intracameral during surgery
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Participant will be masked receiving treatment, post operative eye drops of both arms is the same. Subject allocation is blinded to investigator and outcomes assessor.

Study Groups

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Moxifloxacin

Subjects will receive 0.1 cc undiluted non preserved intracameral Moxifloxacin during cataract surgery.

Group Type EXPERIMENTAL

Moxifloxacin Ophthalmic Solution

Intervention Type DRUG

Moxifloxacin solution 0.1 cc undiluted, self preserved, injected into intracamera at the end of cataract surgery

Levofloxacin

Subjects will receive 0.1 cc undiluted non preserved intracameral Levofloxacin during cataract surgery.

Group Type ACTIVE_COMPARATOR

Levofloxacin Ophthalmic

Intervention Type DRUG

Levofloxacin solution 0.1 cc undiluted, self preserved, injected into intracamera at the end of cataract surgery

Interventions

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Moxifloxacin Ophthalmic Solution

Moxifloxacin solution 0.1 cc undiluted, self preserved, injected into intracamera at the end of cataract surgery

Intervention Type DRUG

Levofloxacin Ophthalmic

Levofloxacin solution 0.1 cc undiluted, self preserved, injected into intracamera at the end of cataract surgery

Intervention Type DRUG

Other Intervention Names

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Molcin(R) Cravit(R)

Eligibility Criteria

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Inclusion Criteria

* Immature senile cataract in one or both eye
* Agree to be included and signed informed consent

Exclusion Criteria

* Have a history of allergy to moxifloxacin or levofloxacin or any other antibiotics
* Other ocular comorbid such as uveitis, glaucoma, diabetic retinopathy, pseudoexfoliation, and endothelial disorders
* Ocular surgery prior to study
* Sign of infection or inflammation around the eye
* Cataract density more than grade 4 according to Lens Opacities Classification System (LOCS) III grading
* Corneal endothelial cell density \< 1500 cell/ mm2
* Anterior chamber depth \< 2.5 mm
* Diabetes mellitus type 2
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ferron Par Pharmaceuticals

UNKNOWN

Sponsor Role collaborator

Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Arcci Pradessatama

Ophthalmology Department Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Arcci Pradessatama, MD

Role: PRINCIPAL_INVESTIGATOR

RSCM Kirana

Locations

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Fakultas Kedokteran Universitas Indonesia

Jakarta Pusat, DKI Jakarta, Indonesia

Site Status

Countries

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Indonesia

References

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Melega MV, Alves M, Cavalcanti Lira RP, Cardoso da Silva I, Ferreira BG, Assis Filho HL, Pedreira Chaves FR, Martini AAF, Dias Freire LM, Reis RD, Leite Arieta CE. Safety and efficacy of intracameral moxifloxacin for prevention of post-cataract endophthalmitis: Randomized controlled clinical trial. J Cataract Refract Surg. 2019 Mar;45(3):343-350. doi: 10.1016/j.jcrs.2018.10.044. Epub 2019 Jan 25.

Reference Type BACKGROUND
PMID: 30691922 (View on PubMed)

Chang DF, Prajna NV, Szczotka-Flynn LB, Benetz BA, Lass JH, O'Brien RC, Menegay HJ, Gardner S, Shekar M, Rajendrababu S, Rhee DJ. Comparative corneal endothelial cell toxicity of differing intracameral moxifloxacin doses after phacoemulsification. J Cataract Refract Surg. 2020 Mar;46(3):355-359. doi: 10.1097/j.jcrs.0000000000000064.

Reference Type BACKGROUND
PMID: 32050222 (View on PubMed)

Lucena NP, Pereira IMS, Gaete MIL, Ferreira KSA, Melega MV, Lira RPC. Intracameral moxifloxacin after cataract surgery: a prospective study. Arq Bras Oftalmol. 2018 Apr;81(2):92-94. doi: 10.5935/0004-2749.20180022.

Reference Type BACKGROUND
PMID: 29846429 (View on PubMed)

Other Identifiers

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KET-1303/UN2.F1/ETIK/PPM.00.02

Identifier Type: OTHER

Identifier Source: secondary_id

22-10-1262

Identifier Type: -

Identifier Source: org_study_id

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