Effect of Vitamin C Supplementation in Corneal Endothelial Damage in Phacoemulsification of Patients with Hard Cataracts

NCT ID: NCT06781970

Last Updated: 2025-01-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-07

Study Completion Date

2025-06-30

Brief Summary

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The goal of this clinical trial is to analyze the protective effects of oral ascorbic acid on the corneal endothelial layer undergoing oxidative stress due to phacoemulsification in patients with hard cataracts. The main questions it aims to answer are:

1. Will oral vitamin C administration provide better protection to the corneal endothelium in hard cataract phacoemulsification by comparing preoperative and postoperative administration, preoperative only, and no administration?
2. How does oxidative stress (MDA levels) in the aqueous humour increase after oral vitamin C administration compared to no administration?
3. Will there any changes in MDA levels in the aqueous humour and blood after oral vitamin C administration compared to no administration?
4. Does MDA levels in the aqueous humour correlate with MDA levels in the blood?

Researchers will compare vitamin C to a placebo to see if vitamin C as an antioxidant works in preventing corneal endothelial damage due to phacoemulsification.

Participants will:

* Take 500 mg of oral vitamin C or placebo three times a day for seven days prior to phacoemulsification
* Undergo phacoemulsification
* Take vitamin C or placebo three times a day for 28 days after phacoemulsification
* Visit the ophthalmology clinic 1, 7, 28, and 42 days post-operative for checkups
* Keep a logbook to record the drug they take and to write symptoms of possible side effect of the drug

Detailed Description

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Conditions

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Endothelial Cell Loss, Corneal Cataract and Intraocular Lens (IOL) Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Vit C

Patient will consume 500 mg of oral vitamin C, tid, 7 days prior to phacoemulsification to 4 weeks after phacoemulsification

Group Type EXPERIMENTAL

Oral Vitamin C

Intervention Type DRUG

Patients will be given 500 mg of oral vitamin C, tid, for 7 days prior to phacoemulsification and 4 weeks after phacoemulsification

Preoperative Vit C

Patient will consume 500 mg of oral vitamin C, tid, 7 days prior to phacoemulsification and placebo, tid, 4 weeks after phacoemulsification

Group Type EXPERIMENTAL

Oral Vitamin C

Intervention Type DRUG

Patients will be given 500 mg of oral vitamin C, tid, for 7 days prior to phacoemulsification and 4 weeks after phacoemulsification

Placebo

Intervention Type DRUG

Patients will be given placebo, tid, for 7 days prior to phacoemulsification and 4 weeks after phacoemulsification

Placebo

Patient will consume placebo, tid, 7 days prior to phacoemulsification to 4 weeks after phacoemulsification

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Patients will be given placebo, tid, for 7 days prior to phacoemulsification and 4 weeks after phacoemulsification

Interventions

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Oral Vitamin C

Patients will be given 500 mg of oral vitamin C, tid, for 7 days prior to phacoemulsification and 4 weeks after phacoemulsification

Intervention Type DRUG

Placebo

Patients will be given placebo, tid, for 7 days prior to phacoemulsification and 4 weeks after phacoemulsification

Intervention Type DRUG

Other Intervention Names

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ascorbic acid

Eligibility Criteria

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Inclusion Criteria

* Males and females aged 60 years or older
* Patients with immature senile cataracts in one or both eyes, with LOC (lens opacities classification) III nuclear opacity grade 4-6 and nuclear color grade 4-6 criteria
* Patients willing to undergo phacoemulsification cataract surgery and consume the study medication as allocated, as well as participate in follow-up assessments for 7 weeks
* Patients with no history of previous intraocular surgery
* Patients with no history of allergy to vitamin C
* Patients not routinely consuming other vitamins
* Patients who agree to and sign the informed consent for the study

Exclusion Criteria

\-
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Melva Louisa

Prof. dr. Melva Louisa, S.Si., M.Biomed

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Pharmacology Laboratory of the University of Indonesia

Jakarta, DKI Jakarta, Indonesia

Site Status NOT_YET_RECRUITING

RSUD Sayang

Cianjur, West Java, Indonesia

Site Status RECRUITING

Countries

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Indonesia

Central Contacts

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Syska Widyawati, Master of Medical Education

Role: CONTACT

+62 818473841

Rafida Kamila, Medical Doctor

Role: CONTACT

+62 81217169169

Facility Contacts

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Syska Widyawati, Master of Medical Education

Role: primary

+62 818473841

Other Identifiers

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24-08-1198

Identifier Type: -

Identifier Source: org_study_id

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