Safety Profile Comparison of Undiluted Intracameral Moxifloxacin vs. Levofloxacin in Cataract Surgery
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.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Arcci Pradessatama, MD
- Phone Number: 087889149125
- Email: arccipradessatama@gmail.com
Study Locations
-
-
DKI Jakarta
-
Jakarta Pusat, DKI Jakarta, Indonesia, 10430
- Fakultas Kedokteran Universitas Indonesia
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Moxifloxacin
Subjects will receive 0.1 cc undiluted non preserved intracameral Moxifloxacin during cataract surgery.
|
Moxifloxacin solution 0.1 cc undiluted, self preserved, injected into intracamera at the end of cataract surgery
Other Names:
|
|
Active Comparator: Levofloxacin
Subjects will receive 0.1 cc undiluted non preserved intracameral Levofloxacin during cataract surgery.
|
Levofloxacin solution 0.1 cc undiluted, self preserved, injected into intracamera at the end of cataract surgery
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Endothelial cell density
Time Frame: 1 month
|
Corneal endothelial cell density measured using specular microscopy
|
1 month
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Central corneal thickness
Time Frame: 1 month
|
Central corneal thickness (in nm) measured using specular microscopy
|
1 month
|
|
Central macular thickness
Time Frame: 1 month
|
Central macular thickness (in nm) measure using optical coherence tomography
|
1 month
|
|
Intraocular pressure
Time Frame: 1 month
|
Intraocular pressure (in mmHg) measured using automated non contact tonometer
|
1 month
|
|
Anterior chamber cell reactions
Time Frame: 1 month
|
Anterior chamber cell reactions measured in Standardization of Uveitis Nomenclature (SUN) grading.
Values consist of 0, trace, 1+, 2+, 3+, and 4+.
Higher grading score means more inflammatory reaction which is worse.
|
1 month
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Arcci Pradessatama, MD, RSCM Kirana
Publications and helpful links
General Publications
- 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.
- 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.
- 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.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Eye Diseases
- Lens Diseases
- Cataract
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antineoplastic Agents
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Anti-Bacterial Agents
- Cytochrome P-450 Enzyme Inhibitors
- Pharmaceutical Solutions
- Cytochrome P-450 CYP1A2 Inhibitors
- Anti-Infective Agents, Urinary
- Moxifloxacin
- Ophthalmic Solutions
- Levofloxacin
Other Study ID Numbers
Other Study ID Numbers
- 22-10-1262
- KET-1303/UN2.F1/ETIK/PPM.00.02 (Other Identifier: Komite Etik Penelitian Kesehatan FKUI)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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